Black, Bobby Lee

Black, Bobby Lee is an individual health care provider with primary practice located at 3647 Highway 39 , Klamath Falls OR 97603-2612. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Black, Bobby Lee can be contacted via phone (541) 884-5244.

Contact Information

Primary practice address
3647 Highway 39 Klamath Falls OR 97603-2612
Phone: (541) 884-5244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1043828619
LBN Legal business name Black, Bobby Lee
Credentials CADC-1, CRM, QMHA-R
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2020
Last updated May 8th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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