Mary Ekaterina Black
Mary Ekaterina Black is a Mental Health Counselor in Middleburg, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2024
Practice location Address checks out
2561 County Road 220 Ste 304Middleburg, FL 32068-8518
Phone: (904) 626-0188
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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 (FL) |
|---|
Record details
| NPI number | 1255159620 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 2, 2024 |
| Last updated in NPPES | October 2, 2024 |
| Certification date | October 2, 2024 |
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