Individual provider · Type 1 NPI

Pamela M. Black

Mental Health Counselor · Aurora, IL

NPI number 1649762782 Active

Practice location

1630 Plum St
Aurora, IL 60506-3462

Mailing address

417 Waubonsee Dr
Plano, IL 60545-2264

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1649762782

Pamela M. Black's National Provider Identifier is 1649762782, issued on Jun 5, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Aurora, IL. The record was last updated on Jun 5, 2018.