Individual
AMANDA M BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CPRP, L.P.C.
Contact information
Practice address
4 CORNERSTONE DR, LANGHORNE, PA 19047-1314
(215) 757-6916
Mailing address
1196 HART LN, WARMINSTER, PA 18974-1017
(215) 237-6005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC007273
PA
Other
Enumeration date
12/17/2010
Last updated
12/27/2013
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