Individual provider · Type 1 NPI

Amy Black

Addiction (Substance Use Disorder) Counselor · Moroni, UT

NPI number 1811354293 Active

Practice location

2360 N 1450 E
Moroni, UT 84646-0461

Call (435) 445-5520 Map

Mailing address

21360 North 1450 East
Moroni, UT 84646-0461

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1811354293

Amy Black's National Provider Identifier is 1811354293, issued on Jan 15, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Moroni, UT. The record was last updated on Jan 15, 2016.