Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA LOUISE BLACK, SUDPT
ActiveAMANDA LOUISE BLACK, SUDPT is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MOSSYROCK, Washington. NPI 1538941273 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · MOSSYROCK, WA
Registration Details
- NPI Number
- 1538941273
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2023 (2.8016833982502 yrs)
- Last Updated
- Oct 17, 2023
- License
-
CO61208402 (WA)
Practice Information
- Address
-
230 E STATE STMOSSYROCK, WA, 985642501Browse WA providers · Browse ZIP 98564
- Phone
- 3602665585
- Fax
- 3602626620
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in MOSSYROCK, WA
| Name | Credential | NPI |
|---|---|---|
| DAVID RICHARD BALDWIN | CP00006153 | 1154830362 |
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.