Individual provider · Type 1 NPI

Kathy Black, CADC I

Addiction (Substance Use Disorder) Counselor · Grass Valley, CA

NPI number 1871714352 Active

Practice location

440 Henderson St Ste C
Grass Valley, CA 95945-7374

Call (530) 273-9541 Map

Fax (530) 273-7740

Mailing address

15019 Roving Way
Grass Valley, CA 95949-9708

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC4001407 (CA)

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

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About NPI 1871714352

Kathy Black, CADC I's National Provider Identifier is 1871714352, issued on May 1, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grass Valley, CA. The record was last updated on Jul 8, 2007.