Individual provider · Type 1 NPI

Anina Black

Mental Health Counselor · Addison, IL

NPI number 1912896515 Active

Practice location

1111 W Lake St
Addison, IL 60101-1101

Mailing address

111 N County Farm Rd
Wheaton, IL 60187-3977

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1912896515

Anina Black's National Provider Identifier is 1912896515, issued on Jun 30, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Addison, IL. The record was last updated on Jun 30, 2025.