person
Mrs. Theresa L Black, LPC,NCC,ACS
Professional Counselor in Bridgeton, New Jersey
NPI 1376802397

Theresa L Black is a Professional Counselor based in Bridgeton, NJ and is specialized in Professional. Theresa L Black practices in Bridgeton, NJ and has the professional credentials of LPC,NCC,ACS. The NPI Number for Theresa L Black is 1376802397 and holds a License No. 37PC00324200 (New Jersey).

The current practice location address for Theresa L Black is 333 Irving Ave, Bridgeton, NJ and can be reached out via phone at 856-575-4196 and via fax at 856-575-5071.

Location: 333 Irving Ave, Bridgeton, NJ, 08302-2123
person
Provider Profile Details
NPI Number
1376802397
Provider Name
Theresa L Black
Credential
LPC,NCC,ACS
Provider Entity Type
Individual
Gender
Female
Address
333 Irving Ave, Bridgeton, NJ, 08302-2123
Phone Number
856-575-4196
Fax Number
856-575-5071
Provider Enumeration Date
05/11/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3674509 05 NJ
institution
Provider Business Practice Location Address Details
Address
333 Irving Ave
City
State
Zip
08302-2123
Phone Number
856-575-4196
Fax Number
856-575-5071
person
Provider Business Mailing Address Details
Address
333 Irving Ave
City
State
Zip
08302-2123
Phone Number
856-575-4196
Fax Number
856-575-5071
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
37PC00324200 (New Jersey)
Definition
Definition to come...
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