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Individual

MS. SARA BLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LCDC

Contact information

Practice address
12740 HILLCREST RD STE 224, DALLAS, TX 75230-2168
(972) 863-7133
(844) 318-2942
Mailing address
12740 HILLCREST RD STE 224, DALLAS, TX 75230-2168
(972) 863-7133
(844) 318-2942

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11507
TX
101YP2500X
Professional Counselor
68080
TX
103TC1900X
Counseling Psychologist
Primary
68080
TX

Other

Enumeration date
07/10/2015
Last updated
08/11/2022
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