Individual
ALEXANDER JORDAN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AMFT
Contact information
Practice address
1245 E SANTA CLARA ST, SAN JOSE, CA 95116-2337
(408) 294-0500
Mailing address
1245 E SANTA CLARA ST, SAN JOSE, CA 95116-2337
(408) 240-0070
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
141961
CA
Other
Enumeration date
08/03/2023
Last updated
10/11/2023
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