person
Dedria Black
Addiction (Substance Use Disorder) Counselor in San Andreas, California
NPI 1316338940

Dedria Black is an Addiction (Substance Use Disorder) Counselor based in San Andreas, CA and is specialized in Addiction (Substance Use Disorder). Dedria Black practices in San Andreas, CA. The NPI Number for Dedria Black is 1316338940 and holds a License No. (California).

The current practice location address for Dedria Black is 891 Mountain Ranch Rd, San Andreas, CA and can be reached out via phone at 209-754-6537.

Location: 891 Mountain Ranch Rd, San Andreas, CA, 95249-9713
person
Provider Profile Details
NPI Number
1316338940
Provider Name
Dedria Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
891 Mountain Ranch Rd, San Andreas, CA, 95249-9713
Phone Number
209-754-6537
Fax Number
Provider Enumeration Date
02/18/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
891 Mountain Ranch Rd
City
State
Zip
95249-9713
Phone Number
209-754-6537
Fax Number
person
Provider Business Mailing Address Details
Address
891 Mountain Ranch Rd
City
State
Zip
95249-9713
Phone Number
209-754-6537
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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