Balluru, Candice
Balluru, Candice is an sole proprietor health care provider with primary practice located at 16521 13Th Ave W Ste 210 , Lynnwood WA 98037-8511. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Balluru, Candice can be contacted via phone (425) 243-2522.Contact Information
Primary practice address
16521 13Th Ave W Ste 210
Lynnwood WA 98037-8511
Phone: (425) 243-2522
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PY60965267 | Washington |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 024973 | New York |
Profile Details
| NPI number | 1700219508 |
|---|---|
| LBN Legal business name | Balluru, Candice |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2013 |
| Last updated | Dec 4th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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