Benton, Candace Virginia

Benton, Candace Virginia is an sole proprietor health care provider with primary practice located at 1480 Terracita Dr , San Bernardino CA 92404-1568. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Benton, Candace Virginia can be contacted via phone (310) 743-5035.

Contact Information

Primary practice address
1480 Terracita Dr San Bernardino CA 92404-1568
Phone: (310) 743-5035
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1043483167
LBN Legal business name Benton, Candace Virginia
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2008
Last updated Apr 1st, 2014 - about 10 years ago

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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