Individual provider · Type 1 NPI
Phillip Anthony Black, M.S.
Mental Health Counselor · Broken Arrow, OK
NPI number
1326149873
Active
Practice location
500 S Sweet Gum Ave
Broken Arrow, OK 74012-4543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 2649 (OK) |
Mental Health Counselor: Definition to come...
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About NPI 1326149873
Phillip Anthony Black, M.S.'s National Provider Identifier is 1326149873, issued on Sep 26, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Broken Arrow, OK. The record was last updated on Jul 8, 2007.