Individual provider · Type 1 NPI

Camilla Black

Mental Health Counselor · Danville, IL

NPI number 1972350155 Active

Practice location

3545 N Vermilion St
Danville, IL 61832-1100

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X150113474 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1972350155

Camilla Black's National Provider Identifier is 1972350155, issued on May 4, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Danville, IL. The record was last updated on May 4, 2024.