Individual
CANDACE RABURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10543 S CRATER RD, SOUTH PRINCE GEORGE, VA 23805-7333
(800) 805-6989
Mailing address
55 BEATTIE PL, SUITE 100, GREENVILLE, SC 29601-2165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710101675
VA
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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