Search › Ohio › 101YP2500X
Matthew Black, LPC, CDCA
NPI 1821509415 · on the registry since 2017
Practice
- Address
- 17606 Coshocton Rd
Mount Vernon, OH 43050 - Phone
- (740) 397-7568
- Organisation at this address
- The Village Network
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 65
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-30
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 Ohio