Black, Sierra Autumn

Black, Sierra Autumn is an individual health care provider with primary practice located at 3800 Coolidge Ave , Oakland CA 94602-3311. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Black, Sierra Autumn can be contacted via phone (510) 773-4700.

Contact Information

Primary practice address
3800 Coolidge Ave Oakland CA 94602-3311
Phone: (510) 773-4700
Fax: (510) 530-2047
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 46100 California

Profile Details

NPI number 1043377294
LBN Legal business name Black, Sierra Autumn
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Dec 14th, 2023 - about last year

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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