L. Diane Black, MA, LMFT

NPI #1659616365 in Bryan, Texas

Provider Information

NPI Number
1659616365
Entity Type
Individual
Name
L. Diane Black, MA, LMFT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Credential
MA, LMFT
Enumeration Date
Dec 6, 2012
Last Updated
Dec 6, 2012

Practice Location

Address
4301 CARTER CREEK PKWY
Address 2
SUITE 212
City
Bryan
State
Texas
ZIP Code
77802-4485
Phone
(979) 299-8315

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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