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

Mr. Stephen Leon Black, SUDCC-III

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1962848093

Mr. Stephen Leon Black, SUDCC-III is an Addiction (Substance Use Disorder) Counselor in Grass Valley, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

500 Crown Point Cir
Grass Valley, CA 95945-9561
Phone: (530) 273-5440
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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 · Licence 7537 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence B1006171257 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 156325 I (CA)

Record details

NPI number1962848093
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDCC-III
Sole proprietorNo
NPI enumeratedMay 15, 2013
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025

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