Organization
TODD BLACK LICENSED MARRIAGE AND FAMILY THERAPIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD C BLACK LMFT (PRESIDENT)
(650) 260-8564
Entity
Organization
Contact information
Practice address
120 N EL CAMINO REAL, SAN MATEO, CA 94401-2791
(650) 260-8564
Mailing address
120 N EL CAMINO REAL, SAN MATEO, CA 94401-2791
(650) 260-8564
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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