MRS. Theresa L Black, LPC, NCC, ACS
NPI #1376802397 in Bridgeton, New Jersey
Provider Information
- NPI Number
- 1376802397
- Entity Type
- Individual
- Name
- MRS. Theresa L Black, LPC, NCC, ACS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC, NCC, ACS
- Enumeration Date
- May 11, 2012
- Last Updated
- Mar 3, 2015
Practice Location
- Address
- 333 IRVING AVE
- Address 2
- CAPC FIRST FLOOR
- City
- Bridgeton
- State
- New Jersey
- ZIP Code
- 08302-2123
- Phone
- (856) 575-4196
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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