Individual provider · Type 1 NPI

Vaquisha Lanae Black

Mental Health Counselor · Homewood, IL

NPI number 1508527193 Active

Practice location

935 175th St Ste 100
Homewood, IL 60430-2073

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508527193

Vaquisha Lanae Black's National Provider Identifier is 1508527193, issued on Jan 5, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Homewood, IL. The record was last updated on May 29, 2024.