NPI 1003110198

Judith Ann Black, PHDLPCLCMHCNCC

Practitioner Professional Counselor Fairmont, WV

Practice location

Address: 207 Fairmont Ave, Fairmont, WV 26554-2710
Phone: (681) 404-6869
Mailing address: 12 Woodcliff Dr, Fairmont, WV 26554-1257

Registered specialties (5)

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 2278 (WV)

Other Counselor providers in West Virginia →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence A8388 (NC)

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 0701005401 (VA)

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 275728 (NC)

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 8388 (NC)

Registry record

NPI: 1003110198
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jan 2011
Record last updated: 16 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.