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Individual

TEMPEST JULIET BLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
13 S TRAIL OF THE WOODS ST, FLAGSTAFF, AZ 86001-6716
(903) 744-0617
Mailing address
13 S TRAIL OF THE WOODS ST, FLAGSTAFF, AZ 86001-6716
(903) 744-0617

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-22962
AZ

Other

Enumeration date
07/28/2025
Last updated
07/28/2025
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