Charlene Black's National Provider Identifier (NPI) Details
Charlene Black, LMFT
NPI: 1629318316
Enumeration Date: 2013-02-18
Last updated: 2023-12-19
Sole Proprietor: NO
Status: active
Postal Address: 2423 CAMINO DEL RIO S, SAN DIEGO, CA
Phone: 858-634-0392
Primary Practice Address: PO BOX 742193, SAN DIEGO, CA
Practice's phone: 858-634-0392