Dedria Black is an addiction (substance use disorder) counselor in San Andreas, CA. Dedria Black NPI is 1316338940. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249-713
Phone: (209) 754-6537
The enumeration date for this NPI number is 2/18/2015 and was last updated on 2/18/2015.