Black, Dezerri Renee

Black, Dezerri Renee is an individual health care provider with primary practice located at Po Box 1265 , Sun City AZ 85372-1265. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Black, Dezerri Renee can be contacted via phone (623) 920-6041.

Contact Information

Primary practice address
Po Box 1265 Sun City AZ 85372-1265
Phone: (623) 920-6041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 10599 Arizona
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15245 Arizona

Profile Details

NPI number 1578384830
LBN Legal business name Black, Dezerri Renee
Credentials LASAC, LAMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2024
Last updated Oct 21st, 2024 - about 2 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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