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MRS. DESARI M BLACK SUDCCIII-CS
NPI 1336973312
Counselor - Addiction (Substance Use Disorder) in Fresno, CA

Active since August 30, 2024
1414 W KEARNEY BLVD, FRESNO, CA 93706(559) 485-0501(559) 485-1313 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Desari M Black Sudcciii-cs NPPES

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

MRS. DESARI M BLACK SUDCCIII-CS (NPI 1336973312) is an individual addiction (substance use disorder) provider in Fresno, California, licensed in California (11885) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1336973312
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. DESARI M BLACKCredential: SUDCCIII-CS
Location Address1414 W KEARNEY BLVDFresno, CA 93706-2702
Mailing Address1414 W Kearney BlvdFresno, CA 93706-2702 · (559) 485-0501 · Fax (559) 485-1313
Phone(559) 485-0501
Fax(559) 485-1313
Sole ProprietorYes
Enumeration DateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
✔ NPI 1336973312 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
License✔ Licensed in CA · 11885
1414 W KEARNEY BLVD, Fresno, CA 93706
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Other Providers at the Same Location NPPES 17

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

JOEANNA RIVERA
Community Health Worker
1414 W KEARNEY BLVD
FRESNO, CA 93706
Fresno County (559) 485-0501
MR. EDWARD ANTHONY URREA
Counselor (Addiction (Substance Use Disorder))
1414 W KEARNEY BLVD
FRESNO, CA 93706
Fresno County (559) 485-0501
MR. CARLOS ABRAHAM ALTAMIRANO
Counselor (Addiction (Substance Use Disorder))
1414 W KEARNEY BLVD
FRESNO, CA 93706
Fresno County (559) 485-0501
MRS. MAGDALENA GRANADOS SUDRC#10744
Counselor (Addiction (Substance Use Disorder))
1414 W KEARNEY BLVD
FRESNO, CA 93706
Fresno County (559) 485-0501
MR. ALBERT J. ROBLES
Counselor (Addiction (Substance Use Disorder))
1414 W KEARNEY BLVD
FRESNO, CA 93706
Fresno County (559) 485-0501
MR. JOSE QUIJANO
Counselor (Addiction (Substance Use Disorder))
1414 W KEARNEY BLVD
FRESNO, CA 93706
Fresno County (559) 485-0501
MR. JOSE AHUMADA ROSALES SUDRC#10745
Counselor (Addiction (Substance Use Disorder))
1414 W KEARNEY BLVD
FRESNO, CA 93706
Fresno County (559) 485-0501
MR. JASON IVAN MUNIZ CONTRERAS
Counselor (Addiction (Substance Use Disorder))
1414 W KEARNEY BLVD
FRESNO, CA 93706
Fresno County (559) 485-0501

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 Desari Black's NPI number?

The NPI number for Desari Black is 1336973312. It was assigned to this individual provider in the NPPES registry on August 30, 2024.

Where is Desari Black located?

Desari Black practices at 1414 W Kearney Blvd, Fresno, CA 93706. The listed phone number is (559) 485-0501.

What is Desari 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 Desari Black was last updated on August 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.