Individual
MS. CAMILLA YVETTE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, NCC,LPC
Contact information
Practice address
1241-06 SOUTH MAIN STREET, WAKE FOREST, NC 27587
(919) 554-1231
(919) 554-2406
Mailing address
1241-06 SOUTH MAIN STREET, WAKE FOREST, NC 27587
(919) 554-1231
(919) 554-2406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8316
NC
101YP2500X
Professional Counselor
8316
NC
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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