| NPI | 1336652718 |
|---|---|
| Doing Business As | BLACK DOG COUNSELING LLC |
| Entity Type | Organization |
| Authorized Contact | STACIE A. SEARS Owner/Psychotherapist 385-240-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: UT 5473800-3501) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2018-03-21 |