Individual provider · Type 1 NPI

Theresa L. Black, LPC, NCC, ACS

Professional Counselor · Bridgeton, NJ

NPI number 1376802397 Active

Practice location

333 Irving Ave, Capc First Floor
Bridgeton, NJ 08302-2123

Call (856) 575-4196 Map

Fax (856) 575-5071

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X37PC00324200 (NJ)

Professional Counselor: Definition to come...

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About NPI 1376802397

Theresa L. Black, LPC, NCC, ACS's National Provider Identifier is 1376802397, issued on May 11, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bridgeton, NJ. The record was last updated on Mar 3, 2015.