| Mr Jason Oliver Black, LPA, LCAS | |
|
615 Shipyard Blvd, Wilmington, NC 28412-6431 | |
| (910) 343-0145 | |
| (910) 341-5779 |
| Full Name | Mr Jason Oliver Black |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 615 Shipyard Blvd, Wilmington, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194097022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS 3014 (North Carolina) | Primary |
| 103T00000X | Psychologist | 4360 (North Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason Oliver Black, LPA, LCAS 615 Shipyard Blvd, Wilmington, NC 28412-6431 Ph: (910) 343-0145 | Mr Jason Oliver Black, LPA, LCAS 615 Shipyard Blvd, Wilmington, NC 28412-6431 Ph: (910) 343-0145 |
Mrs. Makeba Sharice Shaw, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Elisha Dr, Wilmington, NC 28405 Phone: 910-233-0355 Fax: 910-799-6263 | |
Mrs. Holly Cunningham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3963 Market St, Suite A, Wilmington, NC 28403 Phone: 910-362-9474 Fax: 910-362-9192 | |
Kelly Nicole French, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Walnut St Ste 101, Wilmington, NC 28401 Phone: 828-214-7870 | |
Erin Mace, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2425 S 17th St, Wilmington, NC 28401 Phone: 910-313-3232 | |
Kristin Hoffman, MA, LCAS, LCMHC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 Wooster St, Wilmington, NC 28401 Phone: 910-386-7378 | |
Kelly Kristine Rose, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1619 Grace St, Wilmington, NC 28401 Phone: 919-896-0214 | |
Emily Kohls, LCMHC, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Military Cutoff Rd Ste 108b, Wilmington, NC 28405 Phone: 910-218-1603 Fax: 910-889-0736 |