Individual
MRS. SOPHIA H. BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
110 AMERSHAM CT, KERNERSVILLE, NC 27284-6835
(336) 788-1785
Mailing address
110 AMERSHAM CT, KERNERSVILLE, NC 27284-6835
(336) 788-1785
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3734
NC
101YP2500X
Professional Counselor
3734
NC
Other
Enumeration date
06/21/2007
Last updated
09/11/2025
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