Individual provider · Type 1 NPI

Tara Black

Counselor · Middletown, OH

NPI number 1053936559 Active

Practice location

1131 Manchester Ave
Middletown, OH 45042-1925

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1053936559

Tara Black's National Provider Identifier is 1053936559, issued on Jun 10, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Middletown, OH. The record was last updated on Jun 10, 2020.