Jacqueline Black
NPI #1689560682 in Breckenridge, Colorado
Provider Information
- NPI Number
- 1689560682
- Entity Type
- Individual
- Name
- Jacqueline Black
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jun 16, 2025
- Last Updated
- Jun 16, 2025
Practice Location
- Address
- PO BOX 6463
- City
- Breckenridge
- State
- Colorado
- ZIP Code
- 80424
- Phone
- (207) 807-9145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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