Mr. Jason Oliver Black, LPA, LCAS
Mr. Jason Oliver Black, LPA, LCAS is an Addiction (Substance Use Disorder) Counselor in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.
- Licensed in
- NC
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
615 Shipyard BlvdWilmington, NC 28412-6431
Phone: (910) 343-0145
Fax: (910) 341-5779
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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 LCAS 3014 (NC) |
|---|---|
| Psychologist | Taxonomy 103T00000X · Licence 4360 (NC) |
Record details
| NPI number | 1194097022 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPA , LCAS |
| Sole proprietor | No |
| NPI enumerated | February 8, 2012 |
| Last updated in NPPES | January 27, 2016 |
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615 Shipyard Blvd, Wilmington, NC 28412-6431 · (910) 343-0145
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Karimah Iona Bradley, LCAS, LCMHC
615 Shipyard Blvd, Wilmington, NC 28412-6431 · (910) 343-0145
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