Individual
CHRISTIE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 12TH ST, COLUMBUS, GA 31901-2522
(706) 494-7776
(706) 494-7076
Mailing address
1170 BISMARK CT, COLUMBUS, GA 31907-4010
(706) 568-3616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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