Individual
CANDACE A GLAVIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMH, CCDP-D, NCC
Contact information
Practice address
107 APOORVA LN, SMYRNA, DE 19977-4810
(443) 907-2739
Mailing address
107 APOORVA LN, SMYRNA, DE 19977-4810
(443) 907-2739
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC-0000761
DE
Other
Enumeration date
07/02/2014
Last updated
06/27/2016
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