Individual
RACHEL BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 KATONA DR, FAIRFIELD, CT 06824-3544
(860) 942-9311
Mailing address
85 CHAPMAN AVE, FAIRFIELD, CT 06825-4203
(860) 942-9311
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4445
CT
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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