Individual provider · Type 1 NPI

Travis Black

Mental Health Counselor · Blanding, UT

NPI number 1356997134 Active

About NPI 1356997134

Travis Black's National Provider Identifier is 1356997134, issued on Aug 16, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Blanding, UT. The record was last updated on Aug 16, 2019.