Individual
CANDACE L EVERETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC-P
Contact information
Practice address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(843) 903-6212
Mailing address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(843) 903-6212
(843) 903-5432
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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