Individual
MRS. DEZERRI RENEE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LASAC, LAMFT
Contact information
Practice address
PO BOX 1265, SUN CITY, AZ 85372-1265
(623) 920-6041
Mailing address
PO BOX 1265, SUN CITY, AZ 85372-1265
(623) 920-6041
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15245
AZ
101YM0800X
Mental Health Counselor
10599
AZ
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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