Organization
CANDICARES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDACE LOUISE WASHINGTON PHD (CEO/LICENSED PSYCHOLOGIST)
(336) 896-0700
Entity
Organization
Contact information
Practice address
4265 BROWNSBORO RD, SUITE 150, WINSTON SALEM, NC 27106-6194
(336) 896-0700
(336) 896-0701
Mailing address
4265 BROWNSBORO RD, SUITE 150, WINSTON SALEM, NC 27106-6194
(336) 896-0700
(336) 896-0701
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
2713
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008436
—
NC
Enumeration date
08/03/2010
Last updated
09/22/2022
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