Individual
CHELSEA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7373 WILDFLOWER WAY, ABILENE, TX 79602-1665
(808) 724-7858
Mailing address
697 LOUISIANA RD, DYESS AFB, TX 79607-1141
(325) 696-5380
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2023
FL
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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