Individual
KENDRA AISHA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1548 POPLAR AVE, MEMPHIS, TN 38104-2432
(901) 538-8952
(901) 333-8255
Mailing address
1548 POPLAR AVE, MEMPHIS, TN 38104-2432
(901) 538-8952
(901) 333-8255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
AR-13092
AR
101YM0800X
Mental Health Counselor
MS-M10738
MS
101YM0800X
Mental Health Counselor
Primary
TN-12523
TN
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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