Individual provider · Type 1 NPI

Johnathan Shane Black

Mental Health Counselor · Mobile, AL

NPI number 1316459084 Active

Practice location

7120 Airport Blvd
Mobile, AL 36608-4502

Call (251) 345-3303 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3106 (AL)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1316459084

Johnathan Shane Black's National Provider Identifier is 1316459084, issued on Nov 2, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mobile, AL. The record was last updated on Nov 2, 2017.