Candace Mae Vaillette
Counselor, Addiction (Substance Use Disorder) in Los Angeles, CA. Individual provider (NPI-1).
NPI number1982168647
StatusActive
Last updated in NPPESNov 7, 2022
Details
- NPI
- 1982168647
- Entity type
- Individual (NPI-1)
- Name
- Candace Mae Vaillette
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 28, 2019
- Certification date
- Nov 7, 2022
- Last updated
- Nov 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
515 E 6th StLos Angeles, CA 90021-1009
Phone 213-529-0963
Mailing address
21163 Conklin BlvdCalifornia City, CA 93505-2273
Phone 909-242-1940
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