Individual
CANDACE RENEE HARLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP TRAINEE
Contact information
Practice address
100 ARBOR DR STE 105, CHRISTIANSBURG, VA 24073-6585
(540) 688-6813
Mailing address
100 ARBOR DR STE 105, CHRISTIANSBURG, VA 24073-6585
(540) 688-6813
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
01/07/2024
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