Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alicia Grace Black

Individual provider Mental Health Counselor · NPI 1063810828

Alicia Grace Black is a Mental Health Counselor in Jasper, Oregon. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

37875 Jasper Lowell Rd
Jasper, OR 97438-9751
Phone: (541) 747-1235
Fax: (541) 747-4722
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1063810828
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 10, 2014
Last updated in NPPESDecember 10, 2014

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