person
Mr. Phillip Anthony Black, MS
Mental Health Counselor in Broken Arrow, Oklahoma
NPI 1326149873

Phillip Anthony Black is a Mental Health Counselor based in Broken Arrow, OK and is specialized in Mental Health. Phillip Anthony Black practices in Broken Arrow, OK and has the professional credentials of MS. The NPI Number for Phillip Anthony Black is 1326149873 and holds a License No. 2649 (Oklahoma).

The current practice location address for Phillip Anthony Black is 500 S Sweet Gum Ave, Broken Arrow, OK and can be reached out via phone at 918-250-5963.

Location: 500 S Sweet Gum Ave, Broken Arrow, OK, 74012-4543
person
Provider Profile Details
NPI Number
1326149873
Provider Name
Phillip Anthony Black
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
500 S Sweet Gum Ave, Broken Arrow, OK, 74012-4543
Phone Number
918-250-5963
Fax Number
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
500 S Sweet Gum Ave
City
State
Zip
74012-4543
Phone Number
918-250-5963
Fax Number
person
Provider Business Mailing Address Details
Address
500 S Sweet Gum Ave
City
State
Zip
74012-4543
Phone Number
918-250-5963
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2649 (Oklahoma)
Definition
Definition to come...
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