Black, James C.

Black, James C. is an individual health care provider with primary practice located at 815 W Hamlet Ave , Hamlet NC 28345-2507. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Black, James C. can be contacted via phone (910) 582-7046.

Contact Information

Primary practice address
815 W Hamlet Ave Hamlet NC 28345-2507
Phone: (910) 582-7046
Fax: (910) 582-7106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1119 North Carolina
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0762 South Carolina

Profile Details

NPI number 1790803674
LBN Legal business name Black, James C.
Credentials MA CLINICAL PSY.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jan 5th, 2010 - about 15 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1790803674 NPPES
North Carolina Other 046NJ BLUECROSS BLUESHIELD
North Carolina MEDICAID 3403400 BLUECROSS BLUESHIELD

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