# MR. STEPHEN LEON BLACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962848093
- **Gender:** Man
- **Credential:** SUDCC-III

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 156325 I | CA | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 7537 | CA | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | B1006171257 | CA | — |
| 372600000X | Adult Companion | — | CA | Yes |

## Other

- **Enumeration date:** 05/15/2013
- **Last updated:** 09/25/2026