Search › California › 171100000X
M. Black, LAC
NPI 1548374754 · on the registry since 2006 · sole proprietor
Practice
- Address
- 750 Central Ave
Willits, CA 95490 - Phone
- (707) 459-5744
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 363AM0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California