Kathy Black in Grass Valley - Addiction (substance Use Disorder)
Kathy Black - NPI 1871714352
Kathy Black is a Addiction (substance Use Disorder) in Grass Valley, California. Kathy Black practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kathy Black is 1871714352. The last update date is 2007-07-08.
Kathy Black's current location address is 15019 Roving Way, Grass Valley, California. You can contact this provider via phone number 5302739541 and fax number 5302737740. The mailing address for Kathy Black is 15019 Roving Way, Grass Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathy Black |
|---|---|
| Address | 15019 Roving Way, Grass Valley, California |
| Phone Number | 5302739541 |
| Fax Number | 5302737740 |
| Sole Proprietor | N |
| Credentials | CADC I |
NPI Number Detail
| NPI Number | 1871714352 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15019 Roving Way |
|---|---|
| City | Grass Valley |
| State | California (CA) |
| Post Code | 959499708 |
| Phone Number | 5302739541 |
| Fax Number | 5302737740 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | C4001407 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kathy Black by the Centers for Medicare & Medicaid Services?
The Kathy Black has been assigned the NPI (National Provider Identifier) 1871714352 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kathy Black?
The Kathy Black is physically situated at 15019 Roving Way, in the city of Grass Valley, state of CA, with the postal code 959499708.
What is Kathy Black's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kathy Black is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
When was the Kathy Black's 1871714352 issued?
The Kathy Black's 1871714352 was issued on 2007-05-01.
As of what date were the details pertaining to Kathy Black last refreshed?
The information related to the Kathy Black, including its address, specialty, and other relevant details, was last updated on 2007-07-08.