KATHY BLACK

GRASS VALLEY, CA
NPI1871714352
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  C4001407)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
-- KATHY BLACK CADC I
440 HENDERSON ST STE C
GRASS VALLEY, CA 95945-7374
Phone number: 530-273-9541
Mailing Address
-- KATHY BLACK CADC I
15019 ROVING WAY
GRASS VALLEY, CA 95949-9708
Phone number: 530-273-9541
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