Individual
CANDICE SA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
775 FLEISCHMANN WAY, CARSON CITY, NV 89703-2995
(754) 458-8889
Mailing address
200 LOTUS CIR, CARSON CITY, NV 89703-7512
(702) 494-7763
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
IC1874
NV
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
8448-S
NV
Other
Enumeration date
06/02/2021
Last updated
10/01/2024
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