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 - Professional |
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) | Primary |
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 |