DR. Judith Ann Black, PHD, LPC, LCMHC, NCC
NPI #1003110198 in Fairmont, West Virginia
Provider Information
- NPI Number
- 1003110198
- Entity Type
- Individual
- Name
- DR. Judith Ann Black, PHD, LPC, LCMHC, NCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- PHD, LPC, LCMHC, NCC
- Enumeration Date
- Jan 4, 2011
- Last Updated
- Mar 16, 2023
Practice Location
- Address
- 207 FAIRMONT AVE
- City
- Fairmont
- State
- West Virginia
- ZIP Code
- 26554-2710
- Phone
- (681) 404-6869
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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