THERESA BLACK

SAN CLEMENTE, CA
NPI1992289607
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  108675)
Enumeration Date2018-09-18
Last Update Date2018-09-18
Business Address
THERESA BLACK MA
2011 S EL CAMINO REAL
SAN CLEMENTE, CA 92672-3277
Phone number: 949-342-4070
Mailing Address
THERESA BLACK MA
PO BOX 1004
SAN JUAN CAPISTRANO, CA 92693-1004
Phone number:
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