Individual
CHRISTINE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-7121
Mailing address
408 VIRGINIA ST, PARIS, TN 38242-5341
(731) 642-0521
(731) 642-1010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000003207
TN
Other
Enumeration date
09/17/2014
Last updated
03/06/2025
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