JEFF BLACK

SOUTHLAKE, TX
NPI1548713217
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: TX  69061)
Enumeration Date2016-07-29
Last Update Date2016-07-29
Business Address
Mr. JEFF BLACK MA, LPC
578 N KIMBALL AVE SUITE 130
SOUTHLAKE, TX 76092-6883
Phone number: 817-601-5877
Mailing Address
Mr. JEFF BLACK MA, LPC
578 N KIMBALL AVE SUITE 130
SOUTHLAKE, TX 76092-6883
Phone number: 817-601-5877
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