Black, Kathy
Black, Kathy is an individual health care provider with primary practice located at 440 Henderson St Ste C , Grass Valley CA 95945-7374. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Black, Kathy can be contacted via phone (530) 273-9541.Contact Information
Primary practice address
440 Henderson St Ste C
Grass Valley CA 95945-7374
Phone: (530) 273-9541
Fax: (530) 273-7740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C4001407 | California |
Profile Details
| NPI number | 1871714352 |
|---|---|
| LBN Legal business name | Black, Kathy |
| Credentials | CADC I |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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