MR. Tommy Dean Black JR., EDS, LPC
NPI #1457401929 in Hinesville, Georgia
Provider Information
- NPI Number
- 1457401929
- Entity Type
- Individual
- Name
- MR. Tommy Dean Black JR., EDS, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- EDS, LPC
- Enumeration Date
- Jan 10, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 215 E COURT ST
- City
- Hinesville
- State
- Georgia
- ZIP Code
- 31313-3606
- Phone
- (912) 876-4010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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