Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chadd Mykell Black

Individual provider Professional Counselor · NPI 1437076205

Chadd Mykell Black is a Professional Counselor in Folsom, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

159 Apex Loop Folsom Apt 203
Folsom, CA 95630
Phone: (559) 410-5478
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 19619 (CA)

Record details

NPI number1437076205
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 2, 2026
Last updated in NPPESJuly 2, 2026
Certification dateJune 10, 2026
Mailing address159 Apex Loop Folsom Apt. 203, Folsom, CA 95630

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