DEBORAH BLACK LMFT NPI 1174107668

NPI Information

NPI: 1174107668
Provider Name: DEBORAH BLACK, LMFT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1159 FOXCHASE DR
SAN JOSE, CA
ZIP 95123
Phone: (408) 827-1006
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Deborah Black, LMFT is a mental health counselor in San Jose, CA. Deborah Black, LMFT NPI is 1174107668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1159 FOXCHASE DR
SAN JOSE, CA
ZIP 95123-114
Phone: (408) 827-1006

The enumeration date for this NPI number is 5/10/2021 and was last updated on 6/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	105164	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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