Individual provider · Type 1 NPI

Khadijallah Black

Counselor · Cincinnati, OH

NPI number 1356063176 Active

Practice location

5050 Madison Rd
Cincinnati, OH 45227-1491

Mailing address

5124 Reading Rd Apt B
Cincinnati, OH 45237-5327

Other practice locations

  • 1375 Kemper Meadow Dr Ste 12, Cincinnati, OH 45240-1650 · (513) 294-8300

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XC.2406122 (OH)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1356063176

Khadijallah Black's National Provider Identifier is 1356063176, issued on Sep 19, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Cincinnati, OH. The record was last updated on Aug 7, 2024.