Jason Black, LMFT Valid NPI
Individual provider · Marriage & Family Therapist · Trumbull, CT
- NPI
- 1619161676
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- License number
- 1325 (CT)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-09-04
- Last updated
- 2020-07-29
Practice location
487 Church Hill Rd Fl 2
Trumbull, CT 06611-3838
(203) 400-2407