Johnathan Shane Black
Johnathan Shane Black is a Mental Health Counselor in Mobile, Alabama. Practices as a sole proprietor. Licensed in Alabama.
- Licensed in
- AL
- In the registry since
- 2017
Practice location Address checks out
7120 Airport BlvdMobile, AL 36608-4502
Phone: (251) 345-3303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 3106 (AL) |
|---|
Record details
| NPI number | 1316459084 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 2, 2017 |
| Last updated in NPPES | November 2, 2017 |
| Mailing address | 7120 Airport Blvd, Mobile, AL 36608-4502 |
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