Jeanette Black
NPI #1174668875 in Gold Beach, Oregon
Provider Information
- NPI Number
- 1174668875
- Entity Type
- Individual
- Name
- Jeanette Black
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 20, 2007
- Last Updated
- Oct 9, 2019
Practice Location
- Address
- 29413 RUSSELL ST
- City
- Gold Beach
- State
- Oregon
- ZIP Code
- 97444-7748
- Phone
- (541) 247-6566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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