Sharon Kim Black LCPC

NPI 1407094915 - Counselor - 101YP2500X

NPI Details
NPI 1407094915
Gender Female
Enumeration Date 01/22/2009
Last Updated 01/22/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
715 LAKE ST
SUITE 706
OAK PARK IL, 60301-1422, US
Phone (773) 991-6375
Fax
Business Location
633 CARPENTER AVE
OAK PARK IL, 60304-1104, US
Phone (773) 991-6375
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Illinois
License Number 180.004472
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According to our database, Sharon Kim Black LCPC NPI is 1407094915, taxonomy code is 101YP2500X and license number is 180.004472, license state is located at Illinois. Sharon Kim Black LCPC physically located at 715 Lake St, Oak Park IL, 60301-1422. NPI Number Sharon Kim Black LCPC has the Individual type.

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1407094915 NPI number is provided on an as is basis without warranty of any kind. 1407094915 is maintained by the National Plan & Provider Enumeration System. The contents of Sharon Kim Black LCPC are for informational purposes only.