Individual
ALEX REN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2540 CHARLESTON ST, OAKLAND, CA 94602-2508
(510) 292-0139
(510) 268-3770
Mailing address
2540 CHARLESTON ST, OAKLAND, CA 94602-2508
(510) 292-0139
(510) 268-3770
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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