Individual provider · Type 1 NPI
Devaron Black
Addiction (Substance Use Disorder) Counselor · Oklahoma City, OK
NPI number
1982586483
Active
Practice location
6100 S Walker Ave
Oklahoma City, OK 73139-7026
Mailing address
4200 N Meridian Ave Apt 444
Oklahoma City, OK 73112-2620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1982586483
Devaron Black's National Provider Identifier is 1982586483, issued on Jul 24, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 24, 2025.