person
Dr. Judith Ann Black, PHD,LPC,LCMHC,NCC
Professional Counselor in Fairmont, West Virginia
NPI 1003110198

Judith Ann Black is a Professional Counselor based in Fairmont, WV and is specialized in Professional. Judith Ann Black practices in Fairmont, WV and has the professional credentials of PHD,LPC,LCMHC,NCC. The NPI Number for Judith Ann Black is 1003110198 and holds a License No. A8388 (West Virginia).

The current practice location address for Judith Ann Black is 207 Fairmont Ave, Fairmont, WV and can be reached out via phone at 681-404-6869. You can also correspond with Judith Ann Black through the mailing address at 12 WOODCLIFF DR, FAIRMONT, WV - 26554-1257 (mailing address contact number: 910-689-7100).

Location: 207 Fairmont Ave, Fairmont, WV, 26554-1257
person
Provider Profile Details
NPI Number
1003110198
Provider Name
Judith Ann Black
Credential
PHD,LPC,LCMHC,NCC
Provider Entity Type
Individual
Gender
Female
Address
207 Fairmont Ave, Fairmont, WV, 26554-1257
Phone Number
681-404-6869
Fax Number
Provider Enumeration Date
01/04/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
WVTPID009357 05 WV
institution
Provider Business Practice Location Address Details
Address
207 Fairmont Ave
City
State
Zip
26554-2710
Phone Number
681-404-6869
Fax Number
person
Provider Business Mailing Address Details
Address
207 Fairmont Ave
City
State
Zip
26554-2710
Phone Number
681-404-6869
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
A8388 (North Carolina)
Definition
Definition to come...
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