BOBBY LEE BLACK

KLAMATH FALLS, OR
NPI1043828619
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2020-07-20
Last Update Date2024-05-08
Business Address
BOBBY LEE BLACK CADC-1, CRM, QMHA-R
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603-2612
Phone number: 541-884-5244
Mailing Address
BOBBY LEE BLACK CADC-1, CRM, QMHA-R
3647 HIGHWAY 39
KLAMATH FALLS, OR 97603-2612
Phone number: 541-884-5244
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