person
Susan Easton Black
Professional Counselor in Provo, Utah
NPI 1003175183

Susan Easton Black is a Professional Counselor based in Provo, UT and is specialized in Professional. Susan Easton Black practices in Provo, UT. The NPI Number for Susan Easton Black is 1003175183 and holds a License No. 8133414-2504 (Utah).

The current practice location address for Susan Easton Black is 1190 N 900 E, Provo, UT and can be reached out via phone at 801-422-7620 and via fax at 801-422-0165.

Location: 1190 N 900 E, Provo, UT, 84604-3536
person
Provider Profile Details
NPI Number
1003175183
Provider Name
Susan Easton Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
1190 N 900 E, Provo, UT, 84604-3536
Phone Number
801-422-7620
Fax Number
801-422-0165
Provider Enumeration Date
05/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1190 N 900 E
City
State
Zip
84604-3536
Phone Number
801-422-7620
Fax Number
801-422-0165
person
Provider Business Mailing Address Details
Address
1190 N 900 E
City
State
Zip
84604-3536
Phone Number
801-422-7620
Fax Number
801-422-0165
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
8133414-2504 (Utah)
Definition
Definition to come...
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