location
search-icon
person
Mrs. Peggy Sue Black, LPCC,LCPC
Mental Health Counselor in San Diego, California
NPI 1518300946

Peggy Sue Black is a Mental Health Counselor based in San Diego, CA and is specialized in Mental Health. Peggy Sue Black practices in San Diego, CA and has the professional credentials of LPCC,LCPC. The NPI Number for Peggy Sue Black is 1518300946 and holds a License No. 00464-LC (California).

The current practice location address for Peggy Sue Black is 5060 Shoreham Pl Ste 330, San Diego, CA and can be reached out via phone at 877-840-6956 and via fax at 619-383-6701.

Location: 5060 Shoreham Pl Ste 330, San Diego, CA, 92122-5976
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518300946
Provider Name
Peggy Sue Black
Credential
LPCC,LCPC
Provider Entity Type
Individual
Gender
Female
Address
5060 Shoreham Pl Ste 330, San Diego, CA, 92122-5976
Phone Number
877-840-6956
Fax Number
619-383-6701
Provider Enumeration Date
04/16/2013
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1518300946 05 NV
institution
Provider Business Practice Location Address Details
Address
5060 Shoreham Pl Ste 330
City
San Diego
State
California
Zip
92122-5976
Phone Number
877-840-6956
Fax Number
619-383-6701
person
Provider Business Mailing Address Details
Address
5060 Shoreham Pl Ste 330
City
San Diego
State
California
Zip
92122-5976
Phone Number
877-840-6956
Fax Number
619-383-6701
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LPCC15039 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CP-0215 (Nevada)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
00464-LC (Nevada)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.