Theresa Black, MA
Marriage & Family Therapist in San Clemente, CA. Individual provider (NPI-1).
NPI number1992289607
StatusActive
Last updated in NPPESSep 18, 2018
Details
- NPI
- 1992289607
- Entity type
- Individual (NPI-1)
- Name
- Theresa Black
- Credential
- MA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 18, 2018
- Last updated
- Sep 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 108675 | CA | Yes |
Practice location
2011 S El Camino RealSan Clemente, CA 92672-3277
Phone 949-342-4070
Mailing address
Po Box 1004San Juan Capistrano, CA 92693-1004
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All 96 Marriage & Family Therapist providers in San Clemente · All 1,327 providers in San Clemente
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