Individual
DENNIS W. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
1027 N SIERRA ST, RENO, NV 89503-3722
(775) 329-9830
Mailing address
640 CALLE DE LA PLATA, SPARKS, NV 89441-8520
(775) 348-8811
(775) 348-8830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
Other
Enumeration date
05/15/2013
Last updated
11/23/2021
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