Braker, Candyce Anne
Braker, Candyce Anne is an individual health care provider with primary practice located at 2880 Cochran St # 1025 , Simi Valley CA 93065-0700. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Braker, Candyce Anne can be contacted via phone (818) 465-8208.Contact Information
Primary practice address
2880 Cochran St # 1025
Simi Valley CA 93065-0700
Phone: (818) 465-8208
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1518310622 |
|---|---|
| LBN Legal business name | Braker, Candyce Anne |
| Credentials | M.S., LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2016 |
| Last updated | Dec 12th, 2022 - about 4 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 | 1518310622 | NPPES |
| California | Other | 94865 | MARRIAGE AND FAMILY THERAPIST REGISTERED INTERN |
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