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Brent Black, LPC
NPI 1861580375 · on the registry since 2006 · sole proprietor
Practice
- Address
- 114 N Grand Ave
Suite 419
Okmulgee, OK 74447 - Phone
- (918) 756-9411
- Organisation at this address
- Shantel Farrow
Martha M Robinson Md Pc
Reliance Support Services LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Oklahoma