Mrs. Theresa L Black, LPC, NCC, ACS
Mrs. Theresa L Black, LPC, NCC, ACS is a Mental Health Counselor in Bridgeton, New Jersey. Qualified in 2004, 22 years ago. Practices with Center for Family Guidance PC, a 164-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.
- Years since qualifying
- 22
- Licensed in
- NJ
- In the registry since
- 2012
What do these letters mean?
Practice location Address checks out
333 Irving Ave Capc First FlBridgeton, NJ 08302-2123
Phone: (856) 575-4196
Fax: (856) 575-5071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 37PC00324200 (NJ) |
|---|
Record details
| NPI number | 1376802397 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LPC , NCC , ACS |
| Sole proprietor | No |
| NPI enumerated | May 11, 2012 |
| Last updated in NPPES | March 3, 2015 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Center For Family Guidance Pc — 164 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Bridgeton
-
MS. Andria Felicia Balicki, LPC
333 Irving Ave, Bridgeton, NJ 08302-2123 · (856) 575-4500
-
Kimberly J Brown
10 Richards Rd, Bridgeton, NJ 08302-5958 · (609) 774-5971
-
Mrs. Nicole Dawkins, LPC
333 Irving Ave, Bridgeton, NJ 08302-2123 · (856) 575-4111
-
Shannon Harris, MED, LPC
333 Irving Ave, Bridgeton, NJ 08302-2123 · (856) 507-2730
-
Jessica Hayes, LPC
333 Irving Ave, Bridgeton, NJ 08302-2123 · (856) 575-4269