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

Sierra Autumn Black, MA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043377294

Sierra Autumn Black, MA is a Student in an Organized Health Care Education/Training Program in Oakland, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

3800 Coolidge Ave
Oakland, CA 94602-3311
Phone: (510) 773-4700
Fax: (510) 530-2047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 46100 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043377294
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedJanuary 3, 2007
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023

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