Individual provider · Type 1 NPI
Shannon Trice Black, PhD, LPC
Mental Health Counselor · Manakin Sabot, VA
NPI number
1528448271
Active
Practice location
1900 Manakin Rd Ste G
Manakin Sabot, VA 23103-2252
Fax (804) 556-3624
Mailing address
1900 Manakin Rd, Suite G
Manakin Sabot, VA 23103-2252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0701003122 (VA) |
Mental Health Counselor: Definition to come...
About NPI 1528448271
Shannon Trice Black, PhD, LPC's National Provider Identifier is 1528448271, issued on Jun 8, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manakin Sabot, VA. The record was last updated on Nov 28, 2016.