NICKOLAS BLACK

Professional Counselor

NPI: 1801345921IndividualAccepts Medicare

Specialties, Licenses & Credentials

Counselor

Code: 101Y00000X

Professional CounselorPrimary

Counselor — Professional

Code: 101YP2500X

P2108000(AR)

CMS Specialties

PrimaryMENTAL HEALTH COUNSELOR

Education

OTHER

Class of 2019

Contact & Hours

Address: 1022 MAIN ST
CONWAY, AR 72032
Phone: (501) 609-0400

Quick Facts

NPI: 1801345921
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 7

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