Farmer, Candace Mayberry

Farmer, Candace Mayberry is an sole proprietor health care provider with primary practice located at 13420 Reese Blvd W , Huntersville NC 28078-7925. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Farmer, Candace Mayberry can be contacted via phone (704) 433-6644.

Contact Information

Primary practice address
13420 Reese Blvd W Huntersville NC 28078-7925
Fax: (980) 207-2796
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X P002719 North Carolina

Profile Details

NPI number 1306085519
LBN Legal business name Farmer, Candace Mayberry
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2009
Last updated Mar 20th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306085519 NPPES
North Carolina Other C006688 LCSW
North Carolina Other P002719 LCSW

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