Individual
TONYA MARIE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT, LMHC, CMHS
Contact information
Practice address
2142 W RAILROAD AVE, SHELTON, WA 98584-7813
(360) 628-1295
(360) 427-7980
Mailing address
PO BOX 3991, LACEY, WA 98509-3991
(360) 628-1295
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/22/2009
Last updated
10/30/2018
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