Aveeavis Terryseena Black, LCDCIII, SWCA
Aveeavis Terryseena Black, LCDCIII, SWCA is an Addiction (Substance Use Disorder) Counselor in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2018.
- Licensed in
- OH
- In the registry since
- 2018
- Specialties on file
- 3
Practice location Address checks out
815 Sunnyview AveDayton, OH 45406-1957
Phone: (937) 238-5173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence LCDCIII.021224 (OH) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 111922 (OH) |
| Clinical Social Worker | Taxonomy 1041C0700X · Licence W.0000977 (OH) |
Record details
| NPI number | 1215435466 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCDCIII , SWCA |
| Sole proprietor | No |
| NPI enumerated | January 23, 2018 |
| Last updated in NPPES | January 23, 2018 |
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