Thomas, Candise

Thomas, Candise is an sole proprietor health care provider with primary practice located at 2505 Court Dr , Gastonia NC 28054-2140. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Thomas, Candise can be contacted via phone (704) 842-6359.

Contact Information

Primary practice address
2505 Court Dr Gastonia NC 28054-2140
Phone: (704) 842-6359
Fax: (704) 854-4860
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 202493799 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CSAC 2256 North Carolina

Profile Details

NPI number 1770945354
LBN Legal business name Thomas, Candise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2016
Last updated Apr 5th, 2016 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770945354 NPPES
North Carolina Other CSAC2256 NC SUBSTANCE ABUSE LICENSING BOARD
North Carolina Other 2535 NC SUBSTANCE ABUSE LICENSING BOARD

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