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

Tracey Black

Individual provider Counselor · NPI 1740893155

Tracey Black is a Counselor in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
4

Practice location Address checks out

1212 N California St
Stockton, CA 95202-1552
Phone: (209) 468-8842
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Counselor Taxonomy 101Y00000X (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence C041740417 (CA)
Day Training/Habilitation Specialist Taxonomy 373H00000X

Record details

NPI number1740893155
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 25, 2020
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025
Mailing address538 N Lincoln Ave, Manteca, CA 95336-3940

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