Individual provider · Type 1 NPI
Jessica Minn Black, LCPC
Mental Health Counselor · Red Lodge, MT
NPI number
1104678440
Active
Practice location
6804 US Highway 212
Red Lodge, MT 59068-9310
Mailing address
PO Box 103
Red Lodge, MT 59068-0103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | BBH-LCPC-LIC-70494 (MT) |
Mental Health Counselor: Definition to come...
Another provider at this address
Other mental health counselor providers in Red Lodge
About NPI 1104678440
Jessica Minn Black, LCPC's National Provider Identifier is 1104678440, issued on Apr 2, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Red Lodge, MT. The record was last updated on Nov 1, 2024.