| Candacedwittenllc | |
|
14335 Sherman Way Apt 104 Van Nuys CA 91405-2456 | |
| (818) 527-2039 | |
| Not Available |
| Full Name | Candacedwittenllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14335 Sherman Way Apt 104, Van Nuys, California |
| Authorized Official Name and Position | Candace Damaris Witten (LCSW/OWNER) |
| Authorized Official Contact | 8185272039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Candacedwittenllc 14335 Sherman Way Apt 104 Van Nuys CA 91405-2456 Ph: (818) 527-2039 | Candacedwittenllc 14335 Sherman Way Apt 104 Van Nuys CA 91405-2456 Ph: (818) 527-2039 |
| NPI Number | 1902557705 |
|---|---|
| Provider Enumeration Date | 01/12/2022 |
| Last Update Date | 01/12/2022 |
| Certification Date | 01/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902557705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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