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Organization
KAREN G. BLACK, MARRIAGE AND FAMILY THERAPY, INC.
Active
Organization
KAREN G. BLACK, MARRIAGE AND FAMILY THERAPY, INC.
Active
Other names
Coffee House Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN G BLACK LMFT (PRESIDENT/CEO)
(951) 445-2105
Entity
Organization
Contact information
Practice address
28465 OLD TOWN FRONT ST STE 221, TEMECULA, CA 92590-1822
(951) 445-2105
(866) 961-5084
Mailing address
28465 OLD TOWN FRONT ST STE 221, TEMECULA, CA 92590-1822
(951) 445-2105
(866) 961-5084
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
90128
CA
Other
Enumeration date
07/18/2016
Last updated
08/16/2019
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