Individual
CYNTHIA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHS, CMS
Contact information
Practice address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1757
(614) 445-8131
Mailing address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1757
(614) 445-8131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
181999
OH
Other
Enumeration date
09/01/2022
Last updated
09/27/2022
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