Most Relevant Information
Provider Data
| NPI Number: | 1003381070 |
| Provider Name: | REBECCA RUTH BLACK |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/05/2018 |
| Last Updated: | 10/05/2018 |
Provider Practice Location
16333 HAFER RD
HOUSTON
TX
770904412
Practice Location Phone/Fax
| Phone: | 2815370211 |
| Fax: |
Provider Mailing Location
16333 HAFER RD
HOUSTON
TX
770904412
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |