Individual
CANDICE RENEE JUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5284 ADOLFO RD, CAMARILLO, CA 93012-6787
(805) 289-0120
Mailing address
5284 ADOLFO RD, CAMARILLO, CA 93012-6787
(805) 289-0120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56CC
MEDI-CAL
CA
Enumeration date
10/04/2018
Last updated
10/04/2018
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