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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JUDITH ANN BLACK, PHD, LPC, LCMHC, NCC

Active Sole Proprietor

DR. JUDITH ANN BLACK, PHD, LPC, LCMHC, NCC is a Professional Counselor healthcare provider located in FAIRMONT, West Virginia. NPI 1003110198 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · FAIRMONT, WV

Registration Details

NPI Number
1003110198
Provider Type
Individual
Gender
Female
NPI Issued
Jan 4, 2011 (15.565055517081 yrs)
Last Updated
Mar 16, 2023
Licenses
A8388 (NC)
0701005401 (VA)
275728 (NC)
8388 (NC)
2278 (WV)
Sole Proprietor
Yes

Practice Information

Address
207 FAIRMONT AVE
FAIRMONT, WV, 265542710
Browse WV providers · Browse ZIP 26554
Phone
6814046869
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor
Additional Specialty
Professional Counselor
Additional Specialty
Professional Counselor
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in FAIRMONT, WV

Name Credential NPI
MS. CHERI TIMKO M.S. 1518044379
AMY BURDETTE M.A., LPC 1811162720
MRS. KATHERINE DAVIS PERPERAS MA 1225203268
MS. CINDY JO WANAMAKER LPC 1093158701
PETER RAY COLE LPC 1619337565
REBECCA HAYES-MERRILL LPC ADC-S 1477906154
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.