Individual provider · Type 1 NPI

Paul Black, LCMHC

Mental Health Counselor · Rutland, VT

NPI number 1104446897 Active

Practice location

78 S Main St
Rutland, VT 05701-4594

Fax (802) 747-7699

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0680127083 (VT)

Mental Health Counselor: Definition to come...

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About NPI 1104446897

Paul Black, LCMHC's National Provider Identifier is 1104446897, issued on Apr 22, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rutland, VT. The record was last updated on Apr 22, 2020.