KORI KAE BLACK MS,ME,PPC
Individual Provider (NPI-1)
Active
Counselor
Provider Information
- NPI Number
1184590499- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MS,ME,PPC
- Status
- Active
Contact & Location
- Address
- 1527 RUMSEY AVE, CODY, WY, 824143813
- Phone
- (307) 578-7770
Specialties & Taxonomies
Counselor
Primary License: WY #PPC-1593
All Addresses
MAILING
1249 MEADOW LANE AVE
CODY, WY, 824144632