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Alyssa Black

Counselor in Visalia, CA. Individual provider (NPI-1).

NPI number1104122076
StatusActive
Last updated in NPPESAug 7, 2018

Details

NPI
1104122076
Entity type
Individual (NPI-1)
Name
Alyssa Black
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 9, 2011
Last updated
Aug 7, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

1830 S Central St
Visalia, CA 93277

Phone 559-730-2969

Mailing address

Po Box 5091
Visalia, CA 93278-5091

Phone 559-747-3984 · Fax 559-747-3642

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