Vaquisha Lanae Black
Vaquisha Lanae Black is a Case Manager/Care Coordinator in Homewood, Illinois. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
935 175th St Ste 100Homewood, IL 60430-2073
Phone: (219) 677-6583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1508527193 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 5, 2022 |
| Last updated in NPPES | May 29, 2024 |
| Certification date | May 29, 2024 |