Individual
CANDACE LOUISE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4265 BROWNSBORO RD, SUITE 150, WINSTON SALEM, NC 27106-3425
(336) 896-0700
(336) 896-0701
Mailing address
4265 BROWNSBORO RD STE 150, WINSTON SALEM, NC 27106-6194
(336) 896-0700
(336) 896-0701
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2713
NC
103TC0700X
Clinical Psychologist
2713
NC
103TC1900X
Counseling Psychologist
2713
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000887
—
NC
Enumeration date
06/08/2006
Last updated
09/22/2022
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