# KAREN G. BLACK, MARRIAGE AND FAMILY THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coffee House Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659724391
- **Authorized official:** KAREN G BLACK LMFT (PRESIDENT/CEO)
- **Authorized official phone:** (951) 445-2105

## Contact information

- **Practice address:** 28465 OLD TOWN FRONT ST STE 221, TEMECULA, CA 92590-1822
- **Practice address phone:** (951) 445-2105
- **Practice address fax:** (866) 961-5084
- **Mailing address:** 28465 OLD TOWN FRONT ST STE 221, TEMECULA, CA 92590-1822
- **Mailing address phone:** (951) 445-2105
- **Mailing address fax:** (866) 961-5084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 90128 | CA | Yes |

## Other

- **Enumeration date:** 07/18/2016
- **Last updated:** 08/16/2019