Jason Black in Fairfield - Marriage & Family Therapist
Jason Black - NPI 1619161676
Jason Black is a Marriage & Family Therapist in Fairfield, Connecticut. Jason Black practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Jason Black is 1619161676. The last update date is 2020-07-29.
Jason Black's current location address is 55 Alberta St, Fairfield, Connecticut. You can contact this provider via phone number 2034002407. The mailing address for Jason Black is 55 Alberta St, Fairfield, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Black |
|---|---|
| Address | 55 Alberta St, Fairfield, Connecticut |
| Phone Number | 2034002407 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1619161676 |
|---|---|
| Provider Enumeration Date | 2007-09-04 |
| Last Updated Date | 2020-07-29 |
Provider Mailing Address Detail
| Address | 55 Alberta St |
|---|---|
| City | Fairfield |
| State | Connecticut (CT) |
| Post Code | 68251507 |
| Phone Number | 2034002407 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 1325 |
|
Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8034442 | CT | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jason Black?
The Jason Black has been issued the NPI (National Provider Identifier) 1619161676 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jason Black is geographically located?
The Jason Black is physically situated at the following location: 55 Alberta St, Fairfield, CT, 68251507.
What is Jason Black's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jason Black is Marriage & Family Therapist, and the taxonomy code that categorizes this field of expertise is 106H00000X.
When did Jason Black receive its 1619161676 assignment?
The Jason Black was assigned its 1619161676 on 2007-09-04, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Jason Black, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jason Black, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-07-29.
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