Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theresa Black, MA

Individual provider Marriage & Family Therapist · NPI 1992289607

Theresa Black, MA is a Marriage & Family Therapist in San Clemente, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

2011 S El Camino Real
San Clemente, CA 92672-3277
Phone: (949) 342-4070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 108675 (CA)

Record details

NPI number1992289607
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedSeptember 18, 2018
Last updated in NPPESSeptember 18, 2018
Mailing addressPo Box 1004, San Juan Capistrano, CA 92693-1004

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