Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JASON OLIVER BLACK, L.P.A., L.C.A.S
ActiveMR. JASON OLIVER BLACK, L.P.A., L.C.A.S is a Addiction (Substance Use Disorder) Counselor healthcare provider located in WILMINGTON, North Carolina. NPI 1194097022 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · WILMINGTON, NC
Registration Details
- NPI Number
- 1194097022
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 8, 2012 (14.505354612964 yrs)
- Last Updated
- Jan 27, 2016
- Licenses
-
LCAS 3014 (NC)4360 (NC)
Practice Information
- Address
-
615 SHIPYARD BLVDWILMINGTON, NC, 284126431Browse NC providers · Browse ZIP 28412
- Phone
- 9103430145
- Fax
- 9103415779
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Psychologist
Other Addiction (Substance Use Disorder) Counselor Providers in WILMINGTON, NC
| Name | Credential | NPI |
|---|---|---|
| MRS. PAMELA STALLS | LMFT, LCAS | 1043390057 |
| AMBER BROWN | M.A., L.P.C., N.C.C. | 1275613986 |
| MS. JOANNE MACCO SILVIA | LCAS, CCS | 1730225657 |
| MS. VALANDA L NELSON | MM,, MT-BC, LCAS, CC | 1790814473 |
| KENNY HOUSE | — | 1295867067 |
| MS. JESSICA M. RASINO | MS,CRC,LCAS,CCS | 1548393986 |
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.