Alexis Dawn Black
Alexis Dawn Black is a Counselor in Charleston, Illinois. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1836 Victoria LnCharleston, IL 61920-2964
Phone: (217) 508-8080
Fax: (217) 512-2288
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1588315113 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 14, 2022 |
| Last updated in NPPES | January 14, 2022 |
| Certification date | January 14, 2022 |
| Mailing address | 1836 Victoria Ln, Charleston, IL 61920-2964 |
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Norrianna Barron Hayes
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