Organization
TERESABLACKLMFT, PLLC
Active
Other names
Willow Tree Counseling Group
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA DAWN BLACK LMFT (OWNER)
(970) 250-4098
Entity
Organization
Contact information
Practice address
300 MAIN ST STE 103, GRAND JUNCTION, CO 81501-2404
(970) 299-3307
Mailing address
PO BOX 41045, GRAND JUNCTION, CO 81504-1045
(970) 299-3307
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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