Susan Easton Black
Susan Easton Black is a Professional Counselor in Provo, Utah. Licensed in Utah. Registered with an NPI since 2012.
- Licensed in
- UT
- In the registry since
- 2012
Practice location Address checks out
1190 N 900 EProvo, UT 84604-3536
Phone: (801) 422-7620
Fax: (801) 422-0165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 8133414-2504 (UT) |
|---|
Record details
| NPI number | 1003175183 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 10, 2012 |
| Last updated in NPPES | May 10, 2012 |
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