Individual
CANDACE LEAH BURINGRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT-I
Contact information
Practice address
1400 N JOHNSON AVE, EL CAJON, CA 92020-1650
(760) 721-2781
(760) 712-3195
Mailing address
1701 MISSION AVE STE 310, OCEANSIDE, CA 92058-7110
(760) 721-2781
(760) 712-3195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1368101019
CA
Other
Enumeration date
06/05/2019
Last updated
09/19/2023
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