MR. William Jesse Black, LICSW, LADC, BCD is an addiction (substance use disorder) counselor in Barstow, CA. MR. William Jesse Black, LICSW, LADC, BCD NPI is 1972716314. 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:
271 CYPRESS DRIVE
BARSTOW, CA
ZIP 92311
Phone: (507) 732-4136
The enumeration date for this NPI number is 5/8/2007 and was last updated on 6/21/2021.