Jill Michele Black, LMFT Valid NPI
Individual provider · Marriage & Family Therapist · Agoura Hills, CA
- NPI
- 1063757268
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- License number
- 52229 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2012-11-29
- Last updated
- 2020-08-04
Practice location
30101 Agoura Ct, Lobby 3 Suite 150
Agoura Hills, CA 91301-5806
(805) 657-2511