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Individual

KATHRYN BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., NCC, LPC

Contact information

Practice address
642 BRADY ST, BARBOURSVILLE, WV 25504-1340
(304) 733-1833
Mailing address
PO BOX 283, BARBOURSVILLE, WV 25504-0283
(304) 733-1833

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1285761049
LOUGHRIDGE COUNSELING SERVICES, LLC
WV
Enumeration date
04/04/2017
Last updated
04/04/2017
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