Individual provider · Type 1 NPI

Jennifer Lynn Black, LCPC, CCMHC, LBS1

Professional Counselor · Evanston, IL

NPI number 1336385103 Active

Practice location

1125 Cleveland St
Evanston, IL 60202

Call (224) 830-9800 Map

Other practice locations

  • 450 W Schaumburg Rd, Suite 68803, Schaumburg, IL 60194-3365 · (331) 200-9701
  • 2550 Crawford Ave, Evanston, IL 60201-4900 · (224) 830-9800

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Specialist 174400000XNone listed
Health Educator 174H00000XNone listed
Professional Counselor Primary 101YP2500X180011432 (IL)

Professional Counselor: Definition to come...

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About NPI 1336385103

Jennifer Lynn Black, LCPC, CCMHC, LBS1's National Provider Identifier is 1336385103, issued on Dec 30, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Evanston, IL. The record was last updated on May 23, 2018.