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Liz-el Dominique Black
Counselor in Exton, Pennsylvania
NPI 1245003961

Liz-el Dominique Black is a Counselor based in Ambler, PA. Liz-el Dominique Black practices in Exton, PA. The NPI Number for Liz-el Dominique Black is 1245003961 and holds a License No. (Pennsylvania).

The current practice location address for Liz-el Dominique Black is 124 John Robert Thomas Dr, Exton, PA and can be reached out via phone at 484-987-9870. You can also correspond with Liz-el Dominique Black through the mailing address at 937 VAN SANT LN, AMBLER, PA - 19002-5054 (mailing address contact number: 215-421-4164).

Location: 124 John Robert Thomas Dr, Exton, PA, 19002-5054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245003961
Provider Name
Liz-el Dominique Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
124 John Robert Thomas Dr, Exton, PA, 19002-5054
Phone Number
484-987-9870
Fax Number
Provider Enumeration Date
11/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
124 John Robert Thomas Dr
City
Exton
State
Pennsylvania
Zip
19341-2655
Phone Number
484-987-9870
Fax Number
person
Provider Business Mailing Address Details
Address
124 John Robert Thomas Dr
City
Exton
State
Pennsylvania
Zip
19341-2655
Phone Number
484-987-9870
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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