person
Mr. Sandra L Black, MA,LPC
Professional Counselor in Fort Worth, Texas
NPI 1619992054

Sandra L Black is a Professional Counselor based in Fort Worth, TX and is specialized in Professional. Sandra L Black practices in Fort Worth, TX and has the professional credentials of MA,LPC. The NPI Number for Sandra L Black is 1619992054 and holds a License No. 13288 (Texas).

The current practice location address for Sandra L Black is 4200 South Hulen Street, Fort Worth, TX and can be reached out via phone at 817-673-3999 and via fax at 817-570-0370.

Location: 4200 South Hulen Street, Fort Worth, TX, 76109
person
Provider Profile Details
NPI Number
1619992054
Provider Name
Sandra L Black
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
4200 South Hulen Street, Fort Worth, TX, 76109
Phone Number
817-673-3999
Fax Number
817-570-0370
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4200 South Hulen Street
City
State
Zip
76109
Phone Number
817-673-3999
Fax Number
817-570-0370
person
Provider Business Mailing Address Details
Address
4200 South Hulen Street
City
State
Zip
76109
Phone Number
817-673-3999
Fax Number
817-570-0370
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
13288 (Texas)
Definition
Definition to come...
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