Black, Sandra

Black, Sandra is an individual health care provider with primary practice located at 1455 Dixon Ave , Lafayette CO 80026-8879. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Black, Sandra can be contacted via phone (303) 443-8500.

Contact Information

Primary practice address
1455 Dixon Ave Lafayette CO 80026-8879
Phone: (303) 443-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC.0016866 Colorado

Profile Details

NPI number 1437663432
LBN Legal business name Black, Sandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2017
Last updated Mar 3rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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