Doctor Name: | GRETCHEN GIBBONS BLACK |
NPI Number: | 1346553419 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CT |
License Number: | C.0900427-TRE |
Business Practice Address: | 271 Ihle Dr Cincinnati, OH - 452386022 |
Business Phone Number: | 5135356315 |
Business Fax Number: | |
Mailing Address: | 271 Ihle Dr, CINCINNATI |
State: | OH |
Postal Code: | 452386022 |
Phone Number: | 5135356315 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2010 |
NPI Last Update Date: | 07/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | C.0900427-TRE |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |