Individual
AUSTIN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
704 MILL ST, RENO, NV 89502-1321
(775) 954-1400
(775) 954-1406
Mailing address
704 MILL ST, RENO, NV 89502-1321
(775) 954-1400
(775) 954-1406
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07501-I
NV
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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