Individual
CANDACE COSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C011043
NC
1041S0200X
School Social Worker
Primary
P008436
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56-0554413
ALEXANDER YOUTH NETWORK
NC
Enumeration date
01/18/2015
Last updated
02/04/2026
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