Robert William Black, LPPC 17770
NPI #1003373713 in San Diego, California
Provider Information
- NPI Number
- 1003373713
- Entity Type
- Individual
- Name
- Robert William Black, LPPC 17770
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPPC 17770
- Enumeration Date
- Feb 28, 2019
- Last Updated
- Nov 6, 2024
Practice Location
- Address
- 4391 ELM ST
- City
- San Diego
- State
- California
- ZIP Code
- 92105-5221
- Phone
- (619) 840-5386
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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