| Shaniqua Blackman, | |
|
600 W Grand Ave, Lake Villa, IL 60046-8034 | |
| (847) 245-6276 | |
| Not Available |
| Full Name | Shaniqua Blackman |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 600 W Grand Ave, Lake Villa, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063389336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180.017610 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shaniqua Blackman, 11141 S Ashland Ave, Chicago, IL 60643-3513 Ph: (312) 230-8104 | Shaniqua Blackman, 600 W Grand Ave, Lake Villa, IL 60046-8034 Ph: (847) 245-6276 |
Ashley Perini, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 89 Cedar Ave, Lake Villa, IL 60046 Phone: 847-265-7300 Fax: 847-265-7301 | |
Patricia Cerenil, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25480 W Cedar Crest Ln, Lake Villa, IL 60046 Phone: 847-356-8205 | |
Dr. Erick Alexeyev, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 West Grand Avenue, Lake Villa, IL 60046 Phone: 847-245-6156 Fax: 847-356-2350 | |
Elizabeth Remedi, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 89 Cedar Ave, Lake Villa, IL 60046 Phone: 847-265-7300 Fax: 847-265-7301 | |
Emily Peters, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25480 W Cedar Crest Ln, Lake Villa, IL 60046 Phone: 847-356-8205 | |
Adam Robinson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 137 Cedar Ave, Lake Villa, IL 60046 Phone: 847-265-7300 Fax: 847-265-7301 |