| Darryl S Black, LPC, LCADC | |
|
3 Mccabe Ct, Little Ferry, NJ 07643-2113 | |
| (201) 440-2998 | |
| Not Available |
| Full Name | Darryl S Black |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3 Mccabe Ct, Little Ferry, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780889667 | NPI | - | NPPES |
| 356690 | Other | NJ | MENTAL HEALTH PRACTITIONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00026500 (New Jersey) | Primary |
| 101YP2500X | Counselor - Professional | 37PC00318700 (New Jersey) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Darryl S Black, LPC, LCADC 3 Mccabe Ct, Little Ferry, NJ 07643-2113 Ph: (201) 440-2998 | Darryl S Black, LPC, LCADC 3 Mccabe Ct, Little Ferry, NJ 07643-2113 Ph: (201) 440-2998 |
Mrs. Virginia Eulacio Cierniak, MA, LCAT, MT-BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 178 Franklin St, Little Ferry, NJ 07643 Phone: 317-289-0664 |