# CANDICE SA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1922674571
- **Gender:** F
- **Credential:** QMHA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | IC1874 | NV | — |
| 1041C0700X | Clinical Social Worker | 11975-C | NV | Yes |
| 1041C0700X | Clinical Social Worker | 14307137-3501 | UT | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 8448-S | NV | — |

## Other

- **Enumeration date:** 06/02/2021
- **Last updated:** 09/24/2026