Black, Tonya Marie

Black, Tonya Marie is an sole proprietor health care provider with primary practice located at 2142 W Railroad Ave , Shelton WA 98584-7813. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Black, Tonya Marie can be contacted via phone (360) 628-1295.

Contact Information

Primary practice address
2142 W Railroad Ave Shelton WA 98584-7813
Phone: (360) 628-1295
Fax: (360) 427-7980
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1457687600
LBN Legal business name Black, Tonya Marie
Credentials MA, LMFT, LMHC, CMHS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2009
Last updated Oct 30th, 2018 - about 7 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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