Individual provider · Type 1 NPI

Judith Ann Black, PhD, LPC, LCMHC, NCC

Professional Counselor · Fairmont, WV

NPI number 1003110198 Active

Practice location

207 Fairmont Ave
Fairmont, WV 26554-2710

Call (681) 404-6869 Map

Mailing address

12 Woodcliff Dr
Fairmont, WV 26554-1257

Other practice locations

  • 12 Woodcliff Dr, Fairmont, WV 26554-1257 · (910) 689-7100
  • 3135 16th Street Rd, Huntington, WV 25701-5247 · (681) 404-6869

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XA8388 (NC)
Professional Counselor 101YP2500X0701005401 (VA)
Professional Counselor 101YP2500X275728 (NC)
Professional Counselor 101YP2500X8388 (NC)
Professional Counselor Primary 101YP2500X2278 (WV)

Professional Counselor: Definition to come...

24 other providers at this address

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About NPI 1003110198

Judith Ann Black, PhD, LPC, LCMHC, NCC's National Provider Identifier is 1003110198, issued on Jan 4, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairmont, WV. The record was last updated on Mar 16, 2023.