person
Mildred Renee Black
Mental Health Counselor in Vicksburg, Mississippi
NPI 1154675171

Mildred Renee Black is a Mental Health Counselor based in Vicksburg, MS and is specialized in Mental Health. Mildred Renee Black practices in Vicksburg, MS. The NPI Number for Mildred Renee Black is 1154675171 and holds a License No. (Mississippi).

The current practice location address for Mildred Renee Black is 3444 Wisconsin Ave, Vicksburg, MS and can be reached out via phone at 601-638-0031.

Location: 3444 Wisconsin Ave, Vicksburg, MS, 39180-5331
person
Provider Profile Details
NPI Number
1154675171
Provider Name
Mildred Renee Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
3444 Wisconsin Ave, Vicksburg, MS, 39180-5331
Phone Number
601-638-0031
Fax Number
Provider Enumeration Date
10/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3444 Wisconsin Ave
City
State
Zip
39180-5331
Phone Number
601-638-0031
Fax Number
person
Provider Business Mailing Address Details
Address
3444 Wisconsin Ave
City
State
Zip
39180-5331
Phone Number
601-638-0031
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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