Candelaria, Corey A
Candelaria, Corey A is an sole proprietor health care provider with primary practice located at 1068 S 88Th St Unit A, Louisville CO 80027-9461. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Candelaria, Corey A can be contacted via phone (303) 917-3114.Contact Information
Primary practice address
1068 S 88Th St Unit A
Louisville CO 80027-9461
Phone: (303) 917-3114
Fax: (303) 763-1871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 5569 | Colorado |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 5569 |
Profile Details
| NPI number | 1497938864 |
|---|---|
| LBN Legal business name | Candelaria, Corey A |
| Credentials | LPC, M.A. CSPT, CSAT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2007 |
| Last updated | Jan 24th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497938864 | NPPES |
| Colorado | Other | 5569 | LPC |
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