Individual
KERRI-LYNNE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1600 FRONT ST, EAST MEADOW, NY 11554-2330
(516) 253-1517
Mailing address
1600 FRONT ST, EAST MEADOW, NY 11554-2330
(516) 253-1517
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001229
NY
Other
Enumeration date
09/24/2015
Last updated
06/29/2020
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