Individual provider · Type 1 NPI

David S. Black, CMHT

Mental Health Counselor · Laurel, MS

NPI number 1740412410 Active

Practice location

727 W 21st St
Laurel, MS 39440-2235

Call (601) 705-1901 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0682 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1740412410

David S. Black, CMHT's National Provider Identifier is 1740412410, issued on Aug 14, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Laurel, MS. The record was last updated on Aug 14, 2009.