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Mr. Jason Oliver Black, LPA,LCAS
Psychologist in Wilmington, North Carolina
NPI 1194097022

Jason Oliver Black is a Psychologist based in Wilmington, NC. Jason Oliver Black practices in Wilmington, NC and has the professional credentials of LPA,LCAS. The NPI Number for Jason Oliver Black is 1194097022 and holds a License No. LCAS 3014 (North Carolina).

The current practice location address for Jason Oliver Black is 615 Shipyard Blvd, Wilmington, NC and can be reached out via phone at 910-343-0145 and via fax at 910-341-5779.

Location: 615 Shipyard Blvd, Wilmington, NC, 28412-6431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194097022
Provider Name
Jason Oliver Black
Credential
LPA,LCAS
Provider Entity Type
Individual
Gender
Male
Address
615 Shipyard Blvd, Wilmington, NC, 28412-6431
Phone Number
910-343-0145
Fax Number
910-341-5779
Provider Enumeration Date
02/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
615 Shipyard Blvd
City
Wilmington
State
North Carolina
Zip
28412-6431
Phone Number
910-343-0145
Fax Number
910-341-5779
person
Provider Business Mailing Address Details
Address
615 Shipyard Blvd
City
Wilmington
State
North Carolina
Zip
28412-6431
Phone Number
910-343-0145
Fax Number
910-341-5779
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
4360 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
LCAS 3014 (North Carolina)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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