Individual provider · Type 1 NPI

Robert William Black, LPPC 17770

Professional Counselor · San Diego, CA

NPI number 1003373713 Active

Practice location

4391 Elm St
San Diego, CA 92105-5221

Call (619) 840-5386 Map

Mailing address

PO Box 5070
San Diego, CA 92165-5070

Other practice locations

  • 1670 East Main Street, El Cajon, CA 92021-5070 · (833) 579-4848

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X17770 (CA)

Professional Counselor: Definition to come...

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About NPI 1003373713

Robert William Black, LPPC 17770's National Provider Identifier is 1003373713, issued on Feb 28, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Diego, CA. The record was last updated on Nov 6, 2024.