Travis Black is a mental health counselor in Blanding, UT. Travis Black NPI is 1356997134. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
735 S 200 W STE 1
BLANDING, UT
ZIP 84511-923
Phone: (435) 678-2992
Fax: (435) 678-3116
The enumeration date for this NPI number is 8/16/2019 and was last updated on 8/16/2019.