Individual provider · Type 1 NPI

Nicole Marie Black

Mental Health Counselor · Kent, WA

NPI number 1497220677 Active

Practice location

232 2nd Ave S Ste 201
Kent, WA 98032-5862

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1497220677

Nicole Marie Black's National Provider Identifier is 1497220677, issued on Oct 3, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kent, WA. The record was last updated on Oct 3, 2018.