Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bobby Lee Black, CADC-1, CRM, QMHA-R

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1043828619

Bobby Lee Black, CADC-1, CRM, QMHA-R is an Addiction (Substance Use Disorder) Counselor in Klamath Falls, Oregon. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

3647 Highway 39
Klamath Falls, OR 97603-2612
Phone: (541) 884-5244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1043828619
Entity typeIndividual (Type 1)
GenderMale
Credentials CADC-1 , CRM , QMHA-R
Sole proprietorNo
NPI enumeratedJuly 20, 2020
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

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