MR. PHILLIP BLACK, M.S.

Counselor - Mental Health

Active Individual
NPI: 1326149873

Practice Address

500 S SWEET GUM AVE
Broken Arrow, OK 74012

Phone: (918) 250-5963

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes 2649 (OK)

Frequently Asked Questions

NPI 1326149873 is the National Provider Identifier for MR. PHILLIP BLACK, M.S., a Counselor - Mental Health provider located in Broken Arrow, OK. This NPI was enumerated on September 26, 2006.
MR. PHILLIP BLACK, M.S. practices at 500 S SWEET GUM AVE, Broken Arrow, OK 74012.

Quick Facts

NPI
1326149873
Type
Individual
Enumerated
Sep 26, 2006
Last Updated
Jul 8, 2007

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