Individual
MS. TONYA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
540 E 105TH ST STE 205H, CLEVELAND, OH 44108-4310
(216) 352-3922
Mailing address
3311 HYDE PARK AVE, CLEVELAND HEIGHTS, OH 44118-2133
(216) 408-1564
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C7592
OH
Other
Enumeration date
01/24/2007
Last updated
01/02/2015
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