Karen Black
Individual provider Active NPI Mental Health Counselor · American Canyon, CA
NPI 1821228271 · NPPES record last updated Jul 20, 2009
Key facts
- NPI
- 1821228271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 229 Newbury Way
American Canyon, CA 94503-4228 - Phone
- (707) 246-7920
- Fax
- (707) 648-0393
- NPI assigned
- Jul 20, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
229 Newbury Way
American Canyon, CA 94503-4228
Mailing address
229 Newbury Way
American Canyon, CA 94503-4228
Phone (707) 246-7920
Other providers in American Canyon, CA
- Ayr Medical Supply
- Egbert Balanon
- Yasbleidy Baron
- Frances Brlit Benko
- Florence Birungi
- Tracey Lynn Bledsoe
- Zachary Landus Booze
- Pia Briones
- Cabugao DDS Inc
- Kevin James Cabugao
All providers in American Canyon, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.