Black, John David

Black, John David is an sole proprietor health care provider with primary practice located at 2249 N.M Yale Street , Santa Ana CA 91045. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Black, John David can be contacted via phone (323) 877-7303.

Contact Information

Primary practice address
2249 N.M Yale Street Santa Ana CA 91045
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1649844176
LBN Legal business name Black, John David
Credentials MHRT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2021
Last updated May 19th, 2021 - about 3 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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