Individual
JAMES BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BS
Contact information
Practice address
3110 GOULDEN ST, PORT HURON, MI 48060-6934
(810) 956-9483
Mailing address
3110 GOULDEN ST, PORT HURON, MI 48060-6934
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451024174
MI
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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