Individual
SANDRA F BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSAC
Contact information
Practice address
100 OLD STURGIS RD, ACKERMAN, MS 39735-6600
(662) 285-6225
(662) 285-6226
Mailing address
302 N JACKSON ST, P O BOX 1188, STARKVILLE, MS 39759-2504
(662) 323-9261
(662) 324-9647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/01/2009
Last updated
06/07/2010
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