Individual provider · Type 1 NPI

Susan Easton Black

Professional Counselor · Provo, UT

NPI number 1003175183 Active

Practice location

1190 N 900 E
Provo, UT 84604-3536

Call (801) 422-7620 Map

Fax (801) 422-0165

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X8133414-2504 (UT)

Professional Counselor: Definition to come...

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About NPI 1003175183

Susan Easton Black's National Provider Identifier is 1003175183, issued on May 10, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Provo, UT. The record was last updated on May 10, 2012.