person
Leora Elizabeth Black, PHD
Mental Health Counselor in Colchester, Vermont
NPI 1003986407

Leora Elizabeth Black is a Mental Health Counselor based in Colchester, VT and is specialized in Mental Health. Leora Elizabeth Black practices in Colchester, VT and has the professional credentials of PHD. The NPI Number for Leora Elizabeth Black is 1003986407 and holds a License No. 068-0000067 (Vermont).

The current practice location address for Leora Elizabeth Black is 525 Hercules Dr, Colchester, VT and can be reached out via phone at 802-264-5333 and via fax at 802-264-5338. You can also correspond with Leora Elizabeth Black through the mailing address at 231 COUNTRY MDWS, COLCHESTER, VT - 05446-7072 (mailing address contact number: 802-264-5333).

Location: 525 Hercules Dr, Colchester, VT, 05446-7072
person
Provider Profile Details
NPI Number
1003986407
Provider Name
Leora Elizabeth Black
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
525 Hercules Dr, Colchester, VT, 05446-7072
Phone Number
802-264-5333
Fax Number
802-264-5338
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1006789 05 VT
institution
Provider Business Practice Location Address Details
Address
525 Hercules Dr
City
State
Zip
05446-5993
Phone Number
802-264-5333
Fax Number
802-264-5338
person
Provider Business Mailing Address Details
Address
525 Hercules Dr
City
State
Zip
05446-5993
Phone Number
802-264-5333
Fax Number
802-264-5338
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
068-0000067 (Vermont)
Definition
Definition to come...
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