JENNIFER LYNN BLACK

EVANSTON, IL
NPI1336385103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180011432)
Additional Taxonomies101YM0800X Counselor, Mental Health
174400000X Specialist
174H00000X Health Educator
Enumeration Date2008-12-30
Last Update Date2018-05-23
Business Address
JENNIFER LYNN BLACK LCPC, CCMHC, LBS1
1125 CLEVELAND ST
EVANSTON, IL 60202
Phone number: 224-830-9800
Mailing Address
JENNIFER LYNN BLACK LCPC, CCMHC, LBS1
1125 CLEVELAND ST
EVANSTON, IL 60202-2114
Phone number: 224-830-9800