Susan Easton Black
Professional Counselor
1190 N 900 E
Provo
, Utah 84604-3536
Susan Easton Black
Professional Counselor
1190 N 900 E
Provo
, Utah 84604-3536
(801) 422-0165
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Susan Easton Black
- 1190 N 900 E
- Provo, UT
- Zip : 84604-3536
- Fax : (801) 422-0165
- Phone : (801) 422-7620
Second Address
- Susan Easton Black
- 1190 N 900 E
- Provo, UT
- Zip : 84604-3536
- Fax : (801) 422-0165
- Phone : (801) 422-7620
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | 8133414-2504 | UT |
National Provider Identifier
| NPI | 1003175183 |
|---|---|
| Provider Name | Susan Easton Black |
| First Address | Provo, UT 84604-3536 |
| Second Address | Provo, UT 84604-3536 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2012 |
| Last Update Date | 10/05/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.