Individual provider · Type 1 NPI

Dedria Black

Addiction (Substance Use Disorder) Counselor · San Andreas, CA

NPI number 1316338940 Active

Practice location

891 Mountain Ranch Rd
San Andreas, CA 95249-9713

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1316338940

Dedria Black's National Provider Identifier is 1316338940, issued on Feb 18, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Andreas, CA. The record was last updated on Feb 18, 2015.