Individual
MS. CANDICE A CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWR
Contact information
Practice address
280 PRINCETON AVENUE EXT, CORNING, NY 14830-1524
(607) 962-3148
(607) 962-8422
Mailing address
280 PRINCETON AVENUE EXT, CORNING, NY 14830-1524
(607) 962-3148
(607) 962-8422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R046700
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
541658
VALUE OPTION
NY
01
—
98114980
UNITED BEHAVIORAL HEALTH
NY
Enumeration date
02/01/2007
Last updated
07/08/2007
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