person
Mr. Brent Matthew Black, LPC
Professional Counselor in Okmulgee, Oklahoma
NPI 1861580375

Brent Matthew Black is a Professional Counselor based in Broken Arrow, OK and is specialized in Professional. Brent Matthew Black practices in Okmulgee, OK and has the professional credentials of LPC. The NPI Number for Brent Matthew Black is 1861580375 and holds a License No. 3251 (Oklahoma).

The current practice location address for Brent Matthew Black is 114 N Grand Ave, Okmulgee, OK and can be reached out via phone at 918-756-9411.

Location: 114 N Grand Ave, Okmulgee, OK, 74012-8621
person
Provider Profile Details
NPI Number
1861580375
Provider Name
Brent Matthew Black
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
114 N Grand Ave, Okmulgee, OK, 74012-8621
Phone Number
918-756-9411
Fax Number
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
114 N Grand Ave
City
State
Zip
74447-4013
Phone Number
918-756-9411
Fax Number
person
Provider Business Mailing Address Details
Address
114 N Grand Ave
City
State
Zip
74447-4013
Phone Number
918-756-9411
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3251 (Oklahoma)
Definition
Definition to come...
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