Individual provider · Type 1 NPI

Chadd Mykell Black

Professional Counselor · Folsom, CA

NPI number 1437076205 Active

Practice location

159 Apex Loop Folsom Apt. 203
Folsom, CA 95630

Call (559) 410-5478 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X19619 (CA)

Professional Counselor: Definition to come...

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About NPI 1437076205

Chadd Mykell Black's National Provider Identifier is 1437076205, issued on Jul 2, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Folsom, CA. The record was last updated on Jul 2, 2026.