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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1316338940

Dedria Black is an Addiction (Substance Use Disorder) Counselor in San Andreas, California. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

891 Mountain Ranch Rd
San Andreas, CA 95249-9713
Phone: (209) 754-6537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1316338940
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 18, 2015
Last updated in NPPESFebruary 18, 2015

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