Candacedwittenllc
Community/Behavioral Health in Van Nuys, CA. Organization (NPI-2).
NPI number1902557705
StatusActive
Last updated in NPPESJan 12, 2022
Details
- NPI
- 1902557705
- Entity type
- Organization (NPI-2)
- Legal business name
- Candacedwittenllc
- Organization subpart
- No
- Enumeration date
- Jan 12, 2022
- Certification date
- Jan 12, 2022
- Last updated
- Jan 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
14335 Sherman Way Apt 104Van Nuys, CA 91405-2456
Phone 818-527-2039
Mailing address
14335 Sherman Way Apt 104Van Nuys, CA 91405-2456
Phone 818-527-2039
Authorized official
Candace Damaris Witten
Lcsw/Owner
8185272039
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