Gail R Black, LPC
NPI #1043647605 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1043647605
- Entity Type
- Individual
- Name
- Gail R Black, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Sep 27, 2013
- Last Updated
- Nov 12, 2015
Practice Location
- Address
- 2202 MARILYN DR
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109-0929
- Phone
- (573) 469-5263
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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