DEDRIA BLACK
NPI 1316338940
Counselor - Addiction (Substance Use Disorder) in San Andreas, CA

Active since February 18, 2015
891 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249(209) 754-6537 Get Directions Write a Review

NPPES record last updated: February 18, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dedria Black NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEDRIA BLACK (NPI 1316338940) is an individual addiction (substance use disorder) provider in San Andreas, California and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1316338940
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDEDRIA BLACK
Location Address891 MOUNTAIN RANCH RDSan Andreas, CA 95249-9713
Mailing Address891 Mountain Ranch RdSan Andreas, CA 95249-9713
Sole ProprietorNo
Enumeration DateFebruary 18, 2015
NPI 1316338940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
891 MOUNTAIN RANCH RD, San Andreas, CA 95249

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Case Manager/Care Coordinator
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Counselor (Addiction (Substance Use Disorder))
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Marriage & Family Therapist
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Case Manager/Care Coordinator
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Registered Nurse
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Marriage & Family Therapist
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Registered Nurse (Psychiatric/Mental Health, Adult)
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dedria Black's NPI number?

The NPI number for Dedria Black is 1316338940. It was assigned to this individual provider in the NPPES registry on February 18, 2015.

Where is Dedria Black located?

Dedria Black practices at 891 Mountain Ranch Rd, San Andreas, CA 95249. The listed phone number is (209) 754-6537.

What is Dedria Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Dedria Black was last updated on February 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.