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MR. STEPHEN LEON BLACK SUDCC-III NPI 1962848093


NPI Information

NPI: 1962848093
Provider Name: MR. STEPHEN LEON BLACK, SUDCC-III
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
500 CROWN POINT CIR
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 273-5440
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MR. Stephen Leon Black, SUDCC-III is an addiction (substance use disorder) counselor in Grass Valley, CA. MR. Stephen Leon Black, SUDCC-III NPI is 1962848093. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 CROWN POINT CIR
GRASS VALLEY, CA
ZIP 95945-561
Phone: (530) 273-5440

The enumeration date for this NPI number is 5/15/2013 and was last updated on 12/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)7537CALIFORNIAYes
2101YA0400XCounselorAddiction (Substance Use Disorder)B1006171257CALIFORNIANo
3101YA0400XCounselorAddiction (Substance Use Disorder)156325 ICALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.