Individual
JENNIFER BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
560 MILL ST STE 250, RENO, NV 89502-1089
(775) 688-1421
(775) 688-2662
Mailing address
560 MILL ST STE 250, RENO, NV 89502-1089
(775) 688-1421
(775) 688-2662
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
00943L
NV
106H00000X
Marriage & Family Therapist
0804
NV
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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