TONI LEIGH BLACK

UKIAH, CA
NPI1992915987
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  B0502030855)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
TONI LEIGH BLACK
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2632
Mailing Address
TONI LEIGH BLACK
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2632
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