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Johnathan Black
NPI 1316459084 · on the registry since 2017 · sole proprietor
Practice
- Address
- 7120 Airport Blvd
Mobile, AL 36608 - Phone
- (251) 345-3303
- Organisation at this address
- Zach Thompson Lpc
Grace Counseling CenterInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-11-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama