Phyllis Regina Black, CDP
Phyllis Regina Black, CDP is an Addiction (Substance Use Disorder) Counselor in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2010
Practice location Address checks out
325 9th Ave # 359797Seattle, WA 98104-2420
Phone: (206) 744-9612
Fax: (206) 744-9920
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CP60097360 (WA) |
|---|
Record details
| NPI number | 1407186869 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CDP |
| Sole proprietor | Yes |
| NPI enumerated | January 7, 2010 |
| Last updated in NPPES | January 7, 2010 |
| Mailing address | 325 9th Ave # 359797, Seattle, WA 98104-2420 |
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