Individual
CANDICE VALE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 W ASHLAN AVE, CLOVIS, CA 93612-5627
(559) 519-1496
Mailing address
4340 N 6TH ST, FRESNO, CA 93726-3423
(559) 519-1496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56CC
ASPIRA
CA
Enumeration date
11/10/2021
Last updated
06/10/2025
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