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Dr. Trasha Jacquette Black, PHD,LPC,NCC
Professional Counselor in Charlotte, North Carolina
NPI 1730119363

Trasha Jacquette Black is a Professional Counselor based in Charlotte, NC and is specialized in Professional. Trasha Jacquette Black practices in Charlotte, NC and has the professional credentials of PHD,LPC,NCC. The NPI Number for Trasha Jacquette Black is 1730119363 and holds a License No. 4047 (North Carolina).

The current practice location address for Trasha Jacquette Black is 5104 Reagan Dr Ste 5, Charlotte, NC and can be reached out via phone at 704-596-0505 and via fax at 704-596-0507. You can also correspond with Trasha Jacquette Black through the mailing address at PO BOX 560723, CHARLOTTE, NC - 28256-0723 (mailing address contact number: 704-596-0505).

Location: 5104 Reagan Dr Ste 5, Charlotte, NC, 28256-0723
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Provider Profile Details
NPI Number
1730119363
Provider Name
Trasha Jacquette Black
Credential
PHD,LPC,NCC
Provider Entity Type
Individual
Gender
Female
Address
5104 Reagan Dr Ste 5, Charlotte, NC, 28256-0723
Phone Number
704-596-0505
Fax Number
704-596-0507
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6102098 05 NC
142A2 01 NC BCBSNC
institution
Provider Business Practice Location Address Details
Address
5104 Reagan Dr Ste 5
City
State
Zip
28206-1392
Phone Number
704-596-0505
Fax Number
704-596-0507
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Provider Business Mailing Address Details
Address
5104 Reagan Dr Ste 5
City
State
Zip
28206-1392
Phone Number
704-596-0505
Fax Number
704-596-0507
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
4047 (North Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4047 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4047 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4047 (North Carolina)
Definition
Definition to come...
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