Individual
EMERSON BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
217 GLENWOOD AVE, WILLOW SPRINGS, IL 60480-1307
(574) 283-0438
Mailing address
PO BOX 8461, CHICAGO, IL 60608-0461
(512) 944-2979
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
178.020205
IL
Other
Enumeration date
03/01/2024
Last updated
09/04/2025
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