Individual provider · Type 1 NPI

Camilla Yvette Black, M.ED, NCC, LPC

Mental Health Counselor · Wake Forest, NC

NPI number 1346545605 Active

Practice location

1241-06 South Main Street
Wake Forest, NC 27587

Call (919) 554-1231 Map

Fax (919) 554-2406

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X8316 (NC)
Professional Counselor 101YP2500X8316 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1346545605

Camilla Yvette Black, M.ED, NCC, LPC's National Provider Identifier is 1346545605, issued on Jan 18, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wake Forest, NC. The record was last updated on Jan 18, 2011.