Individual provider · Type 1 NPI

Jed Black, INTERN

Mental Health Counselor · Clinton, UT

NPI number 1831688233 Active

About NPI 1831688233

Jed Black, INTERN's National Provider Identifier is 1831688233, issued on May 2, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clinton, UT. The record was last updated on May 2, 2018.