person
Cecil J Black, BA
Mental Health Counselor in Mattoon, Illinois
NPI 1508510744

Cecil J Black is a Mental Health Counselor based in Mattoon, IL and is specialized in Mental Health. Cecil J Black practices in Mattoon, IL and has the professional credentials of BA. The NPI Number for Cecil J Black is 1508510744 and holds a License No. (Illinois).

The current practice location address for Cecil J Black is 750 Broadway Ave E, Mattoon, IL and can be reached out via phone at 217-238-5735.

Location: 750 Broadway Ave E, Mattoon, IL, 61938-4610
person
Provider Profile Details
NPI Number
1508510744
Provider Name
Cecil J Black
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
750 Broadway Ave E, Mattoon, IL, 61938-4610
Phone Number
217-238-5735
Fax Number
Provider Enumeration Date
02/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 Broadway Ave E
City
State
Zip
61938-4610
Phone Number
217-238-5735
Fax Number
person
Provider Business Mailing Address Details
Address
750 Broadway Ave E
City
State
Zip
61938-4610
Phone Number
217-238-5735
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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