MR. Jason Oliver Black, L.P.A., L.C.A.S is an addiction (substance use disorder) counselor in Wilmington, NC. MR. Jason Oliver Black, L.P.A., L.C.A.S NPI is 1194097022. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
615 SHIPYARD BLVD
WILMINGTON, NC
ZIP 28412-431
Phone: (910) 343-0145
Fax: (910) 341-5779
The enumeration date for this NPI number is 2/8/2012 and was last updated on 1/27/2016.