Individual provider · Type 1 NPI

Theresa Black, MA

Marriage & Family Therapist · San Clemente, CA

NPI number 1992289607 Active

Practice location

2011 S El Camino Real
San Clemente, CA 92672-3277

Call (949) 342-4070 Map

Mailing address

PO Box 1004
San Juan Capistrano, CA 92693-1004

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X108675 (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 1992289607

Theresa Black, MA's National Provider Identifier is 1992289607, issued on Sep 18, 2018. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Clemente, CA. The record was last updated on Sep 18, 2018.