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Contact Information

RAYMOND BLACK III, MA, BS, LMHC, CSAC
985 DILLINGHAM BLVD STE 100
HONOLULU, HI96817-5772
 Phone: 808-834-2823
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pastoral

101YP1600X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for RAYMOND BLACK III · (Male)

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
  • HI License # 1564-10
  • HI License # 2009-835
  • HI License # MHC-636
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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