Individual
ALYSSA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1830 S CENTRAL ST, VISALIA, CA 93277
(559) 730-2969
Mailing address
PO BOX 5091, VISALIA, CA 93278-5091
(559) 747-3984
(559) 747-3642
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/09/2011
Last updated
08/07/2018
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