Mary Ekaterina Black

NPI # 

Practice Address:

2561 County Road 220 Ste 304

Middleburg, FL, 32068-8518

Practice Phone:

904-626-0188

License State:

FL

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Counselor

Taxonomy Specialization:

Mental Health

Taxonomy Code:

101YM0800X

Updated by NPPES on 10/2/2024. You can view the original data set for NPI # 1255159620 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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