Individual
ASHYA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
514 WASHBURN AVE, EDEN, NC 27288-2661
(336) 988-4559
Mailing address
514 WASHBURN AVE, EDEN, NC 27288-2661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/07/2025
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