Individual provider · Type 1 NPI

Matthew A. Black, LPC

Professional Counselor · Chattanooga, TN

NPI number 1346395175 Active

Practice location

601 Cumberland St
Chattanooga, TN 37404-1922

Fax (423) 763-4662

Mailing address

1028 E 3rd St
Chattanooga, TN 37403-2107

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC1809 (TN)

Professional Counselor: Definition to come...

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About NPI 1346395175

Matthew A. Black, LPC's National Provider Identifier is 1346395175, issued on Jan 24, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chattanooga, TN. The record was last updated on Apr 23, 2008.