Individual
ALINA CHRISTINE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
604 S PICKWICK AVE, SPRINGFIELD, MO 65802-3339
(417) 831-7999
(417) 831-7989
Mailing address
1130 S BELCREST AVE, SPRINGFIELD, MO 65804-0504
(417) 887-4322
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2004024674
MO
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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