person
Amy Black
Addiction (Substance Use Disorder) Counselor in Moroni, Utah
NPI 1811354293

Amy Black is an Addiction (Substance Use Disorder) Counselor based in Moroni, UT and is specialized in Addiction (Substance Use Disorder). Amy Black practices in Moroni, UT. The NPI Number for Amy Black is 1811354293 and holds a License No. (Utah).

The current practice location address for Amy Black is 2360 N 1450 E, Moroni, UT and can be reached out via phone at 435-445-5520.

Location: 2360 N 1450 E, Moroni, UT, 84646-0461
person
Provider Profile Details
NPI Number
1811354293
Provider Name
Amy Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
2360 N 1450 E, Moroni, UT, 84646-0461
Phone Number
435-445-5520
Fax Number
Provider Enumeration Date
01/15/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
272503815 05 UT
institution
Provider Business Practice Location Address Details
Address
2360 N 1450 E
City
State
Zip
84646-0461
Phone Number
435-445-5520
Fax Number
person
Provider Business Mailing Address Details
Address
2360 N 1450 E
City
State
Zip
84646-0461
Phone Number
435-445-5520
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Utah)
Definition
Definition to come...
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