person
Phyllis Regina Black, CDP
Addiction (Substance Use Disorder) Counselor in Seattle, Washington
NPI 1407186869

Phyllis Regina Black is an Addiction (Substance Use Disorder) Counselor based in Seattle, WA and is specialized in Addiction (Substance Use Disorder). Phyllis Regina Black practices in Seattle, WA and has the professional credentials of CDP. The NPI Number for Phyllis Regina Black is 1407186869 and holds a License No. CP60097360 (Washington).

The current practice location address for Phyllis Regina Black is 325 9Th Ave # 359797, Seattle, WA and can be reached out via phone at 206-744-9612 and via fax at 206-744-9920.

Location: 325 9Th Ave # 359797, Seattle, WA, 98104-2420
person
Provider Profile Details
NPI Number
1407186869
Provider Name
Phyllis Regina Black
Credential
CDP
Provider Entity Type
Individual
Gender
Female
Address
325 9Th Ave # 359797, Seattle, WA, 98104-2420
Phone Number
206-744-9612
Fax Number
206-744-9920
Provider Enumeration Date
01/07/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
325 9Th Ave # 359797
City
State
Zip
98104-2420
Phone Number
206-744-9612
Fax Number
206-744-9920
person
Provider Business Mailing Address Details
Address
325 9Th Ave # 359797
City
State
Zip
98104-2420
Phone Number
206-744-9612
Fax Number
206-744-9920
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP60097360 (Washington)
Definition
Definition to come...
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