Amy Black

NPI #1811354293 in Moroni, Utah

Provider Information

NPI Number
1811354293
Entity Type
Individual
Name
Amy Black
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jan 15, 2016
Last Updated
Jan 15, 2016

Practice Location

Address
2360 N 1450 E
City
Moroni
State
Utah
ZIP Code
84646-0461
Phone
(435) 445-5520

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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