Individual
JAMES EDWARD BLACK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 AMERICAN LEGION HWY, ROSLINDALE, MA 02131-3908
(617) 910-8866
Mailing address
780 AMERICAN LEGION HWY, ROSLINDALE, MA 02131-3908
(617) 910-8866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
07/10/2026
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