Black, Jill Michele

Black, Jill Michele is an sole proprietor health care provider with primary practice located at 30101 Agoura Ct Lobby 3 Suite 150, Agoura Hills CA 91301-5806. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Black, Jill Michele can be contacted via phone (805) 657-2511.

Contact Information

Primary practice address
30101 Agoura Ct Lobby 3 Suite 150 Agoura Hills CA 91301-5806
Phone: (805) 657-2511
Fax: (805) 856-2219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 52229 California

Profile Details

NPI number 1063757268
LBN Legal business name Black, Jill Michele
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2012
Last updated Aug 4th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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