Individual provider · Type 1 NPI

Kori Kae Black, MS, ME, PPC

Counselor · Cody, WY

NPI number 1184590499 Active

Practice location

1527 Rumsey Ave
Cody, WY 82414-3813

Call (307) 578-7770 Map

Mailing address

1249 Meadow Lane Ave
Cody, WY 82414-4632

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XPPC-1593 (WY)

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 1184590499

Kori Kae Black, MS, ME, PPC's National Provider Identifier is 1184590499, issued on Oct 14, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Cody, WY. The record was last updated on Oct 14, 2025.