Individual provider · Type 1 NPI

Laura Black

Professional Counselor · Bowling Green, KY

NPI number 1043695927 Active

Practice location

380 Suwannee Trail St
Bowling Green, KY 42103-7956

Call (270) 901-5000 Map

Fax (270) 842-5268

Mailing address

380 Suwannee Trail St.
Bowling Green, KY 42101

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500X171471 (KY)

Professional Counselor: Definition to come...

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About NPI 1043695927

Laura Black's National Provider Identifier is 1043695927, issued on Jul 21, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bowling Green, KY. The record was last updated on Nov 14, 2023.