NPI 1003986407

Leora Elizabeth Black, PHD

Practitioner Mental Health Counselor Colchester, VT

Practice location

Address: 525 Hercules Dr Suite 1a, Colchester, VT 05446-5993
Phone: (802) 264-5333
Fax: (802) 264-5338
Mailing address: 231 Country Mdws, Colchester, VT 05446-7072

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 068-0000067 (VT)

Other Counselor providers in Vermont →

Registry record

NPI: 1003986407
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Nov 2006
Record last updated: 13 Dec 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.