Individual provider · Type 1 NPI

Alexander Black, BSW

Mental Health Counselor · Star City, AR

NPI number 1437679172 Active

Practice location

612 E Arkansas St
Star City, AR 71667-4842

Fax (870) 628-5369

Mailing address

2500 Rike Dr
Pine Bluff, AR 71603-3937

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1437679172

Alexander Black, BSW's National Provider Identifier is 1437679172, issued on Jun 23, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Star City, AR. The record was last updated on Jun 23, 2017.