NPI Profile for RAYMOND BLACK III in HONOLULU, HI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Counselor |
101Y00000X | |||
Mental Health |
101YM0800X |
| NPI Number | 1548810898 |
|
| Status | Active | |
| Credentials | MA, BS, LMHC, CSAC | |
| Entity | Individual | |
| Enumeration date | 09/18/2019 | |
| Last updated | 09/24/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RAYMOND BLACK III
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