Davis, Candace Peterson
Davis, Candace Peterson is an individual health care provider with primary practice located at 3821 Forrestgate Drive Dba Forsyth Behavior Health, Winston-Salem NC 27103. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Davis, Candace Peterson can be contacted via phone (336) 277-1811.Contact Information
Primary practice address
3821 Forrestgate Drive Dba Forsyth Behavior Health
Winston-Salem NC 27103
Phone: (336) 277-1811
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3871 | North Carolina |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 706 | North Carolina |
Profile Details
NPI number | 1154543783 |
---|---|
LBN Legal business name | Davis, Candace Peterson |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2007 |
Last updated | Mar 16th, 2015 - about 9 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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