person
Mr. Jeff Black, MA,LPC
Professional Counselor in Southlake, Texas
NPI 1548713217

Jeff Black is a Professional Counselor based in Southlake, TX and is specialized in Professional. Jeff Black practices in Southlake, TX and has the professional credentials of MA,LPC. The NPI Number for Jeff Black is 1548713217 and holds a License No. 69061 (Texas).

The current practice location address for Jeff Black is 578 N Kimball Ave, Southlake, TX and can be reached out via phone at 817-601-5877.

Location: 578 N Kimball Ave, Southlake, TX, 76092-6883
person
Provider Profile Details
NPI Number
1548713217
Provider Name
Jeff Black
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
578 N Kimball Ave, Southlake, TX, 76092-6883
Phone Number
817-601-5877
Fax Number
Provider Enumeration Date
07/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
578 N Kimball Ave
City
State
Zip
76092-6883
Phone Number
817-601-5877
Fax Number
person
Provider Business Mailing Address Details
Address
578 N Kimball Ave
City
State
Zip
76092-6883
Phone Number
817-601-5877
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
69061 (Texas)
Definition
Definition to come...
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