Individual
KORI KAE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,ME,PPC
Contact information
Practice address
1527 RUMSEY AVE, CODY, WY 82414-3813
(307) 578-7770
Mailing address
1249 MEADOW LANE AVE, CODY, WY 82414-4632
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC-1593
WY
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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