Individual provider · Type 1 NPI

Nicole Garrard-Black

Mental Health Counselor · Brandon, MS

NPI number 1831883016 Active

Practice location

613 Marquette Rd
Brandon, MS 39042-3038

Call (601) 824-0342 Map

Mailing address

PO Box 88
Brandon, MS 39043-0088

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

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About NPI 1831883016

Nicole Garrard-Black's National Provider Identifier is 1831883016, issued on Jun 8, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brandon, MS. The record was last updated on Jun 8, 2023.