Individual provider · Type 1 NPI

Laura Black, M.A., LPC CANDIDATE

Mental Health Counselor · Stillwater, OK

NPI number 1790134229 Active

Practice location

2224 W 12th Ave
Stillwater, OK 74074-5154

Call (405) 377-3380 Map

Mailing address

406 S Duncan St
Stillwater, OK 74074-3281

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790134229

Laura Black, M.A., LPC CANDIDATE's National Provider Identifier is 1790134229, issued on Jun 6, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stillwater, OK. The record was last updated on Jun 6, 2016.