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

Gavin Black

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1588503346

Gavin Black is an Addiction (Substance Use Disorder) Counselor in Portland, Maine. Licensed in Maine. Registered with an NPI since 2026.

Licensed in
ME
In the registry since
2026

Practice location Address checks out

17 Bishop St
Portland, ME 04103-2659
Phone: (207) 835-0488
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 · Licence CAC9381 (ME)

Record details

NPI number1588503346
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2026
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing address9 Romasco Ln Unit 2, Portland, ME 04101-3699

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