James Edward Black III

NPI #1053808386 in Roslindale, Massachusetts

Provider Information

NPI Number: 1053808386
Entity Type: Individual
Name: James Edward Black III
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 23, 2018
Last Updated: Apr 23, 2018

Practice Location

Address: 780 AMERICAN LEGION HWY
City: Roslindale
State: Massachusetts
ZIP Code: 02131-3908
Phone: (617) 910-8866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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