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Antoinette Marino Black, LMFT
Mental Health Counselor in Indianapolis, Indiana
NPI 1518922038

Antoinette Marino Black is a Mental Health Counselor based in Mc Cordsville, IN and is specialized in Mental Health. Antoinette Marino Black practices in Indianapolis, IN and has the professional credentials of LMFT. The NPI Number for Antoinette Marino Black is 1518922038 and holds a License No. 35001409A (Indiana).

The current practice location address for Antoinette Marino Black is 9165 Otis Ave Ste 103, Indianapolis, IN and can be reached out via phone at 317-847-5697. You can also correspond with Antoinette Marino Black through the mailing address at 6904 N LAREDO DR, MC CORDSVILLE, IN - 46055-6048 (mailing address contact number: 317-847-5697).

Location: 9165 Otis Ave Ste 103, Indianapolis, IN, 46055-6048
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Provider Profile Details
NPI Number
1518922038
Provider Name
Antoinette Marino Black
Credential
LMFT
Provider Entity Type
Individual
Gender
Female
Address
9165 Otis Ave Ste 103, Indianapolis, IN, 46055-6048
Phone Number
317-847-5697
Fax Number
Provider Enumeration Date
04/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100270530 05 IN
institution
Provider Business Practice Location Address Details
Address
9165 Otis Ave Ste 103
City
State
Zip
46216-2307
Phone Number
317-847-5697
Fax Number
person
Provider Business Mailing Address Details
Address
9165 Otis Ave Ste 103
City
State
Zip
46216-2307
Phone Number
317-847-5697
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
35001409A (Indiana)
Definition
Definition to come...
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