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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. THERESA L BLACK, LPC, NCC, ACS

Active

MRS. THERESA L BLACK, LPC, NCC, ACS is a Professional Counselor healthcare provider located in BRIDGETON, New Jersey. NPI 1376802397 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · BRIDGETON, NJ

Registration Details

NPI Number
1376802397
Provider Type
Individual
Gender
Female
NPI Issued
May 11, 2012 (14.076413846234 yrs)
Last Updated
Mar 3, 2015
License
37PC00324200 (NJ)

Practice Information

Address
333 IRVING AVE
CAPC FIRST FLOOR
BRIDGETON, NJ, 083022123
Browse NJ providers · Browse ZIP 08302
Phone
8565754196
Fax
8565755071
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in BRIDGETON, NJ

Name Credential NPI
MR. PETER L OLSEN MA/LPC 1578797726
MRS. KATHLEEN MARY ORITI MA, LPC 1306070438
MS. ANDRIA FELICIA BALICKI LPC 1942569801
SHANNON HARRIS M.ED., LPC 1295102515
LYNDSIE JOHNSON L.P.C 1861858110
JERNIECE SAEZ LPC 1548610744
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.