Individual provider · Type 1 NPI

Leora Elizabeth Black, PhD

Mental Health Counselor · Colchester, VT

NPI number 1003986407 Active

Practice location

525 Hercules Dr, Suite 1A
Colchester, VT 05446-5993

Call (802) 264-5333 Map

Fax (802) 264-5338

Mailing address

231 Country Mdws
Colchester, VT 05446-7072

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X068-0000067 (VT)

Mental Health Counselor: Definition to come...

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About NPI 1003986407

Leora Elizabeth Black, PhD's National Provider Identifier is 1003986407, issued on Nov 9, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Colchester, VT. The record was last updated on Dec 13, 2023.