# MR. JAMES C. BLACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790803674
- **Gender:** Man
- **Credential:** MA CLINICAL PSY.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 1119 | NC | Yes |
| 106H00000X | Marriage & Family Therapist | 0762 | SC | — |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 01/05/2010
