JACQUELINE ANNE BLACK Professional Counselor License verification

Business Entity

ACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180018020

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

ANNE

Last Name

BLACK

Business Name

JACQUELINE ANNE BLACK

Original Issue Date

02/18/2026

Effective Date

02/18/2026

Expiration Date

03/31/2027

City

INDIANAPOLIS

State

Zip

46236

Ever Disciplined

LastModifiedDate

11/10/2025