IIESHA BLACK

HINESVILLE, GA
NPI1013723246
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  LPC015171)
Enumeration Date2024-12-03
Last Update Date2025-11-06
Business Address
IIESHA BLACK LPC
345 W MEMORIAL DR
HINESVILLE, GA 31313-2413
Phone number: 912-456-2010
Mailing Address
IIESHA BLACK LPC
345 W MEMORIAL DR
HINESVILLE, GA 31313-2413
Phone number: 912-456-2010
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