Individual
CANDY RENEE HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1796 BAY RD, EAST PALO ALTO, CA 94303-1611
(650) 462-6980
Mailing address
1796 BAY RD, EAST PALO ALTO, CA 94303-1611
(650) 462-6980
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
410027IN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410027IN
—
CA
Enumeration date
11/28/2012
Last updated
11/28/2012
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