RANDI BLACK
Individual Provider (NPI-1)
Active
Marriage & Family Therapist
Provider Information
- NPI Number
1255731055- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1121 N COLLEGE PARK ST STE 200, DERBY, KS, 670373639
- Phone
- (316) 351-8517
- Fax
- (316) 260-6494
Specialties & Taxonomies
Marriage & Family Therapist
License: KS #2626
Marriage & Family Therapist
Primary License: KS #2812