Bobby Lee Black, CADC-1, CRM, QMHA-R
NPI #1043828619 in Klamath Falls, Oregon
Provider Information
- NPI Number
- 1043828619
- Entity Type
- Individual
- Name
- Bobby Lee Black, CADC-1, CRM, QMHA-R
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CADC-1, CRM, QMHA-R
- Enumeration Date
- Jul 20, 2020
- Last Updated
- May 8, 2024
Practice Location
- Address
- 3647 HIGHWAY 39
- City
- Klamath Falls
- State
- Oregon
- ZIP Code
- 97603-2612
- Phone
- (541) 884-5244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Peer Specialist |
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