Sandra Marie Black, B A
NPI #1871793539 in Ceres, California
Provider Information
- NPI Number
- 1871793539
- Entity Type
- Individual
- Name
- Sandra Marie Black, B A
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- B A
- Enumeration Date
- Jul 20, 2007
- Last Updated
- Jul 20, 2007
Practice Location
- Address
- 1904 RICHLAND AVE
- City
- Ceres
- State
- California
- ZIP Code
- 95307-4562
- Phone
- (209) 541-2155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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