person
Gail R Black, LPC
Professional Counselor in Jefferson City, Missouri
NPI 1043647605

Gail R Black is a Professional Counselor based in Jefferson City, MO and is specialized in Professional. Gail R Black practices in Jefferson City, MO and has the professional credentials of LPC. The NPI Number for Gail R Black is 1043647605 and holds a License No. 2013035383 (Missouri).

The current practice location address for Gail R Black is 2202 Marilyn Dr, Jefferson City, MO and can be reached out via phone at 573-469-5263.

Location: 2202 Marilyn Dr, Jefferson City, MO, 65109-0929
person
Provider Profile Details
NPI Number
1043647605
Provider Name
Gail R Black
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2202 Marilyn Dr, Jefferson City, MO, 65109-0929
Phone Number
573-469-5263
Fax Number
Provider Enumeration Date
09/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2202 Marilyn Dr
City
State
Zip
65109-0929
Phone Number
573-469-5263
Fax Number
person
Provider Business Mailing Address Details
Address
2202 Marilyn Dr
City
State
Zip
65109-0929
Phone Number
573-469-5263
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2013035383 (Missouri)
Definition
Definition to come...
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