Individual provider · Type 1 NPI

Laurie Carol Black, Q.M.H.A

Mental Health Counselor · Eugene, OR

NPI number 1144593112 Active

Practice location

1255 Pearl St
Eugene, OR 97401-3570

Fax (541) 687-2063

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1144593112

Laurie Carol Black, Q.M.H.A's National Provider Identifier is 1144593112, issued on Feb 21, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Feb 28, 2017.