Organization
BLACK & ASSOCIATES COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA MARIA BLACK MS LMHC (PRESIDENT)
(260) 426-5778
Entity
Organization
Contact information
Practice address
106 THREE RIVERS N, FORT WAYNE, IN 46802-1312
(260) 426-5778
(260) 423-6412
Mailing address
106 THREE RIVERS N, FORT WAYNE, IN 46802-1312
(260) 426-5778
(260) 423-6412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
02/20/2008
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