Individual
RENISHA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 5133, WARREN, MI 48090-5133
(586) 280-0731
Mailing address
PO BOX 5133, WARREN, MI 48090-5133
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451024146
MI
Other
Enumeration date
02/15/2025
Last updated
02/21/2025
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