Individual provider · Type 1 NPI

Glenda Elaine Black, M.A.

Mental Health Counselor · Gautier, MS

NPI number 1194051888 Active

Practice location

3407 Shamrock Ct
Gautier, MS 39553-6429

Call (228) 497-0690 Map

Fax (228) 497-1363

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194051888

Glenda Elaine Black, M.A.'s National Provider Identifier is 1194051888, issued on Oct 30, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gautier, MS. The record was last updated on Oct 30, 2009.