Individual provider · Type 1 NPI

Tracey Black

Professional Counselor · Boulder, CO

NPI number 1326551748 Active

Practice location

1333 Iris Ave
Boulder, CO 80304-2226

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1326551748

Tracey Black's National Provider Identifier is 1326551748, issued on Nov 7, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boulder, CO. The record was last updated on Nov 7, 2017.