Individual
MS. ERIN L BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
426 14TH ST STE 119, MODESTO, CA 95354-2661
(209) 222-8515
Mailing address
426 14TH ST STE 119, MODESTO, CA 95354-2661
(209) 222-8515
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCSW69762
CA
Other
Enumeration date
01/04/2012
Last updated
02/24/2016
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