SANDRA MARIE BLACK B A
NPI 1871793539
Counselor - Addiction (Substance Use Disorder) in Ceres, CA
Active since July 20, 2007
About Sandra Marie Black B A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA MARIE BLACK B A (NPI 1871793539) is an individual addiction (substance use disorder) provider in Ceres, California and active in the NPI registry since July 2007.
NPPES Registry Identity
NPI1871793539
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSANDRA MARIE BLACKCredential: B A
Location Address1904 RICHLAND AVECeres, CA 95307-4562
Mailing Address1601 Marazzi LnCeres, CA 95307-9104 · (209) 541-0135
Phone(209) 541-2155
Sole ProprietorYes
Enumeration DateJuly 20, 2007
✔ NPI 1871793539 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
1904 RICHLAND AVE, Ceres, CA 95307
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 (Addiction (Substance Use Disorder))
1904 RICHLAND AVE, 1904 RICHLAND AV.
CERES, CA 95307
CERES, CA 95307
Counselor (Addiction (Substance Use Disorder))
1904 RICHLAND AVE, 1904 RICLAND AVE
CERES, CA 95307
CERES, CA 95307
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871793539, enumerated as an "individual" on July 20, 2007.
The provider is located at 1904 RICHLAND AVE CERES, CA 95307 and the phone number is (209) 541-2155.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
