Judith Ann Black LPC, NCC

NPI 1003110198 - Counselor - 101YP2500X

NPI Details
NPI 1003110198
Gender Female
Enumeration Date 01/04/2011
Last Updated 02/25/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
7230 HERITAGE VILLAGE PLZ
GAINESVILLE VA, 20155-3053, US
Phone (910) 689-7100
Fax
Business Location
11651 IRON BRIGADE UNIT AVE
BRISTOW VA, 20136-1345, US
Phone (910) 689-7100
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State North Carolina
License Number A8388
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According to our database, Mrs. Judith Ann Black LPC, NCC NPI is 1003110198, taxonomy code is 101YP2500X and license number is A8388, license state is located at North Carolina. Judith Ann Black LPC, NCC physically located at 7230 Heritage Village Plz, Gainesville VA, 20155-3053. NPI Number Judith Ann Black LPC, NCC has the Individual type.

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1003110198 NPI number is provided on an as is basis without warranty of any kind. 1003110198 is maintained by the National Plan & Provider Enumeration System. The contents of Judith Ann Black LPC, NCC are for informational purposes only.