Individual provider · Type 1 NPI

Desari M. Black, SUDCCIII-CS

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1336973312 Active

Practice location

1414 W Kearney Blvd
Fresno, CA 93706-2702

Call (559) 485-0501 Map

Fax (559) 485-1313

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11885 (CA)

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

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About NPI 1336973312

Desari M. Black, SUDCCIII-CS's National Provider Identifier is 1336973312, issued on Aug 30, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Aug 30, 2024.