Individual provider · Type 1 NPI

Jill Michele Black, LMFT

Marriage & Family Therapist · Agoura Hills, CA

NPI number 1063757268 Active

Practice location

30101 Agoura Ct, Lobby 3 Suite 150
Agoura Hills, CA 91301-5806

Fax (805) 856-2219

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	52229 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1063757268

Jill Michele Black, LMFT's National Provider Identifier is 1063757268, issued on Nov 29, 2012. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Agoura Hills, CA. The record was last updated on Aug 4, 2020.