person
Autumn Forie Black
Mental Health Counselor in Puyallup, Washington
NPI 1962710020

Autumn Forie Black is a Mental Health Counselor based in Puyallup, WA and is specialized in Mental Health. Autumn Forie Black practices in Puyallup, WA. The NPI Number for Autumn Forie Black is 1962710020 and holds a License No. (Washington).

The current practice location address for Autumn Forie Black is 325 E Pioneer Ave, Puyallup, WA and can be reached out via phone at 253-445-8120 and via fax at 253-697-3730.

Location: 325 E Pioneer Ave, Puyallup, WA, 98372-3265
person
Provider Profile Details
NPI Number
1962710020
Provider Name
Autumn Forie Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
325 E Pioneer Ave, Puyallup, WA, 98372-3265
Phone Number
253-445-8120
Fax Number
253-697-3730
Provider Enumeration Date
09/22/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
325 E Pioneer Ave
City
State
Zip
98372-3265
Phone Number
253-445-8120
Fax Number
253-697-3730
person
Provider Business Mailing Address Details
Address
325 E Pioneer Ave
City
State
Zip
98372-3265
Phone Number
253-445-8120
Fax Number
253-697-3730
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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