| Theresa Black, MA | |
|
2011 S El Camino Real, San Clemente, CA 92672-3277 | |
| (949) 342-4070 | |
| Not Available |
| Full Name | Theresa Black |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 2011 S El Camino Real, San Clemente, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992289607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 108675 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Black, MA Po Box 1004, San Juan Capistrano, CA 92693-1004 Ph: () - | Theresa Black, MA 2011 S El Camino Real, San Clemente, CA 92672-3277 Ph: (949) 342-4070 |
Mari Konoshima Andersen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3551 Camino Mira Costa Ste T, San Clemente, CA 92672 Phone: 949-272-4444 | |
Tracy Rose Cynthia Lisauskas, LMFT, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3504 Avenida Del Presidente Apt 20, San Clemente, CA 92672 Phone: 562-261-4103 | |
Gregory Baxter, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 302 N El Camino Real Ste 202, San Clemente, CA 92672 Phone: 949-354-3681 | |
Mrs. Sharon Marie Roybal, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3551 Camino Mira Costa, San Clemente, CA 92672 Phone: 949-632-7355 Fax: 949-248-7304 | |
Michael Burke, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 161 Avenida Cabrillo, San Clemente, CA 92672 Phone: 925-301-6352 | |
Jennifer Reza, M.A. LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1401 N El Camino Real, Suite 106, San Clemente, CA 92672 Phone: 949-287-4289 | |
Ms. Kerreen Chau, IMF Couples Therapy Medicare: Medicare Enrolled Practice Location: 101 S El Camino Real Ste 106, San Clemente, CA 92672 Phone: 949-769-0153 Fax: 619-378-7973 |