| Doctor Name: | MS. KAREN BLACK |
| NPI Number: | 1821228271 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 229 Newbury Way American Canyon, CA - 945034228 |
| Business Phone Number: | 7072467920 |
| Business Fax Number: | 7076480393 |
| Mailing Address: | 229 Newbury Way, AMERICAN CANYON |
| State: | CA |
| Postal Code: | 945034228 |
| Phone Number: | 7072467920 |
| Fax Number: | 7076480393 |
| NPI Enumeration Date: | 07/20/2009 |
| NPI Last Update Date: | 07/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |