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Mr. Michael Anthony Black, MS
Counselor in Middletown, Connecticut
NPI 1437703873

Michael Anthony Black is a Counselor based in Middletown, CT. Michael Anthony Black practices in Middletown, CT and has the professional credentials of MS. The NPI Number for Michael Anthony Black is 1437703873 and holds a License No. (Connecticut).

The current practice location address for Michael Anthony Black is 230 Main Street Ext, Middletown, CT and can be reached out via phone at 860-343-5303 and via fax at 860-344-3339.

Location: 230 Main Street Ext, Middletown, CT, 06457-4470
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437703873
Provider Name
Michael Anthony Black
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
230 Main Street Ext, Middletown, CT, 06457-4470
Phone Number
860-343-5303
Fax Number
860-344-3339
Provider Enumeration Date
07/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
230 Main Street Ext
City
Middletown
State
Connecticut
Zip
06457-4470
Phone Number
860-343-5303
Fax Number
860-344-3339
person
Provider Business Mailing Address Details
Address
230 Main Street Ext
City
Middletown
State
Connecticut
Zip
06457-4470
Phone Number
860-343-5303
Fax Number
860-344-3339
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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