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 |