Jessica Minn Black, LCPC

NPI #1104678440 in Red Lodge, Montana

Provider Information

NPI Number: 1104678440
Entity Type: Individual
Name: Jessica Minn Black, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LCPC
Enumeration Date: Apr 2, 2024
Last Updated: Nov 1, 2024

Practice Location

Address: 6804 US HIGHWAY 212
City: Red Lodge
State: Montana
ZIP Code: 59068-9310
Phone: (406) 213-6618

Specialties & Taxonomy Codes

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

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