SearchCalifornia106H00000X

Susan Black, MFT

NPI 1598862575 · on the registry since 2006 · sole proprietor

Practice

Address
2 Spring Ln
Fairfield, CA 94534
Phone
(707) 864-1600
Fax
(707) 864-0855

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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