person
Kathy Black, CADCI
Addiction (Substance Use Disorder) Counselor in Grass Valley, California
NPI 1871714352

Kathy Black is an Addiction (Substance Use Disorder) Counselor based in Grass Valley, CA and is specialized in Addiction (Substance Use Disorder). Kathy Black practices in Grass Valley, CA and has the professional credentials of CADCI. The NPI Number for Kathy Black is 1871714352 and holds a License No. C4001407 (California).

The current practice location address for Kathy Black is 440 Henderson St Ste C, Grass Valley, CA and can be reached out via phone at 530-273-9541 and via fax at 530-273-7740.

Location: 440 Henderson St Ste C, Grass Valley, CA, 95949-9708
person
Provider Profile Details
NPI Number
1871714352
Provider Name
Kathy Black
Credential
CADCI
Provider Entity Type
Individual
Gender
Female
Address
440 Henderson St Ste C, Grass Valley, CA, 95949-9708
Phone Number
530-273-9541
Fax Number
530-273-7740
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
440 Henderson St Ste C
City
State
Zip
95945-7374
Phone Number
530-273-9541
Fax Number
530-273-7740
person
Provider Business Mailing Address Details
Address
440 Henderson St Ste C
City
State
Zip
95945-7374
Phone Number
530-273-9541
Fax Number
530-273-7740
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C4001407 (California)
Definition
Definition to come...
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