Benner, Candace D

Benner, Candace D is an sole proprietor health care provider with primary practice located at 19871 Sackett Ln , Waynesville MO 65583-3510. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Benner, Candace D can be contacted via phone (573) 315-3848.

Contact Information

Primary practice address
19871 Sackett Ln Waynesville MO 65583-3510
Phone: (573) 315-3848
Fax: (573) 312-3848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2014034465 Missouri
Behavioral Health & Social Service Providers / Professional 101YP2500X 2014034465 Missouri

Profile Details

NPI number 1467869156
LBN Legal business name Benner, Candace D
Credentials MA, LPC, CCTP, EMDR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2014
Last updated Mar 18th, 2024 - about 2 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 1467869156 NPPES
Missouri MEDICAID 490021314

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