Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CODY SPENCER BLACK, RADT
ActiveCODY SPENCER BLACK, RADT is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SAN PEDRO, California. NPI 1174377055 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SAN PEDRO, CA
Registration Details
- NPI Number
- 1174377055
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2024 (2.3042829006531 yrs)
- Last Updated
- Apr 16, 2024
- License
-
R1557170424 (CA)
Practice Information
- Address
-
132 W 10TH STSAN PEDRO, CA, 907313702Browse CA providers · Browse ZIP 90731
- Phone
- 3105144940
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SAN PEDRO, CA
| Name | Credential | NPI |
|---|---|---|
| NICOLE CADE | — | 1528261427 |
| MR. GERARDO E HUIZAR | COUNSELOR | 1952505406 |
| VIENNA MONIQUE PATRICIO | CDC | 1720279730 |
| SHAMECA WOMACK | — | 1215262522 |
| PAUL MILLER | — | 1245545441 |
| MONICA C LOPEZ | — | 1346527181 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.