Individual
TERESA DAWN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
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
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MFT.0002440
CO
106H00000X
Marriage & Family Therapist
Primary
MFT.0002440
CO
Other
Enumeration date
10/25/2017
Last updated
06/18/2025
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