Shaniqua Blackman
NPI #1063389336 in Lake Villa, Illinois
Provider Information
- NPI Number
- 1063389336
- Entity Type
- Individual
- Name
- Shaniqua Blackman
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 21, 2025
- Last Updated
- Oct 24, 2025
Practice Location
- Address
- 600 W GRAND AVE
- City
- Lake Villa
- State
- Illinois
- ZIP Code
- 60046-8034
- Phone
- (847) 245-6276
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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