Individual provider · Type 1 NPI

Marvin Talmage Black, MS, LMHC

Mental Health Counselor · Jacksonville, FL

NPI number 1689799355 Active

Practice location

11265 Alumni Way
Jacksonville, FL 32246-6685

Fax (904) 724-2172

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH3241 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1689799355

Marvin Talmage Black, MS, LMHC's National Provider Identifier is 1689799355, issued on Mar 20, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 8, 2011.