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Individual

JACY LEIGH BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 W SANTA ANA BLVD STE 801, SANTA ANA, CA 92701-4134
(714) 704-5900
Mailing address
200 W SANTA ANA BLVD STE 801, SANTA ANA, CA 92701-4134
(714) 704-5900

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
CA

Other

Enumeration date
01/18/2023
Last updated
09/10/2025
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