person
Matthew David Black, LPC,CDCA
Professional Counselor in Mount Vernon, Ohio
NPI 1821509415

Matthew David Black is a Professional Counselor based in Wooster, OH and is specialized in Professional. Matthew David Black practices in Mount Vernon, OH and has the professional credentials of LPC,CDCA. The NPI Number for Matthew David Black is 1821509415 and holds a License No. CDCA.163972 (Ohio).

The current practice location address for Matthew David Black is 17606 Coshocton Rd, Mount Vernon, OH and can be reached out via phone at 740-397-7568.

Location: 17606 Coshocton Rd, Mount Vernon, OH, 44691-5353
person
Provider Profile Details
NPI Number
1821509415
Provider Name
Matthew David Black
Credential
LPC,CDCA
Provider Entity Type
Individual
Gender
Male
Address
17606 Coshocton Rd, Mount Vernon, OH, 44691-5353
Phone Number
740-397-7568
Fax Number
Provider Enumeration Date
10/23/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17606 Coshocton Rd
City
State
Zip
43050-9218
Phone Number
740-397-7568
Fax Number
person
Provider Business Mailing Address Details
Address
17606 Coshocton Rd
City
State
Zip
43050-9218
Phone Number
740-397-7568
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C.1500475 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
CDCA.163972 (Ohio)
Definition
Definition to come...
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