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

ROBERT D BLACK, LPC, CRC

Active Sole Proprietor

ROBERT D BLACK, LPC, CRC is a Professional Counselor healthcare provider located in SAN DIMAS, California. NPI 1629583471 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · SAN DIMAS, CA

Registration Details

NPI Number
1629583471
Provider Type
Individual
Gender
Male
NPI Issued
Dec 1, 2017 (8.6770723765411 yrs)
Last Updated
Sep 24, 2024
Licenses
LPC007406 (GA)
108223 (CA)
108223 (GA)
LPC308 (CA)
Sole Proprietor
Yes

Practice Information

Address
518 N DARWOOD AVE
SAN DIMAS, CA, 917731600
Browse CA providers · Browse ZIP 91773
Phone
6266287373
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Rehabilitation Counselor
Additional Specialty
Rehabilitation Counselor
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in SAN DIMAS, CA

Name Credential NPI
MEGAN MARIA MINNICK LPCC 1033395678
MS. MARIANNE CROONQUIST M.S., MFT 1942487756
AZADEH TAEFI M.S., PPS, CWA 1396138996
CHRISTOPHER R GENTRY 1104350008
ELIZABETH COCHRANE 1932683729
KIESHA GRAVES 1356904841
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.