Porras, Candice Rosie

Porras, Candice Rosie is an individual health care provider with primary practice located at 18612 Santa Ana Ave , Bloomington CA 92316-2639. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Porras, Candice Rosie can be contacted via phone (909) 421-7120.

Contact Information

Primary practice address
18612 Santa Ana Ave Bloomington CA 92316-2639
Phone: (909) 421-7120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1972834745
LBN Legal business name Porras, Candice Rosie
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2010
Last updated Apr 5th, 2024 - about 8 months 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 1972834745 NPPES
California Other ICAN877 LA COUNTY DMH

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