Individual provider · Type 1 NPI

Amanda M. Black

Mental Health Counselor · Eugene, OR

NPI number 1487201851 Active

Practice location

499 W 4th Ave
Eugene, OR 97401-2505

Mailing address

1770 W 13th Ave
Eugene, OR 97402-3721

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1487201851

Amanda M. Black's National Provider Identifier is 1487201851, issued on Aug 21, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Aug 21, 2019.