Individual
ANTOINETTE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4304 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4811
(505) 433-7561
Mailing address
205 GIRARD BLVD SE, ALBUQUERQUE, NM 87106-2229
(505) 614-6268
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NM
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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