Candace Virginia Benton
Social Worker Pastoral Counselor Addiction Counselor (Substance Use Disorder)
1480 Terracita Dr
San Bernardino
, California 92404-1568
Candace Virginia Benton
Social Worker Pastoral Counselor Addiction Counselor (Substance Use Disorder)
1480 Terracita Dr
San Bernardino
, California 92404-1568
(310) 743-5035
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Pastoral Counselor
- Social Worker
Languages spoken
- English
Location
First Address
- Candace Virginia Benton
- 526 S San Pedro St
- Los Angeles, CA
- Zip : 90013-2102
- Phone : (310) 743-5035
Second Address
- Candace Virginia Benton
- 1480 Terracita Dr
- San Bernardino, CA
- Zip : 92404-1568
- Phone : (310) 743-5035
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
| N | 101YP1600X | Pastoral Counselor | ||
| Y | 104100000X | Social Worker |
National Provider Identifier
| NPI | 1043483167 |
|---|---|
| Provider Name | Candace Virginia Benton |
| First Address | Los Angeles, CA 90013-2102 |
| Second Address | San Bernardino, CA 92404-1568 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2008 |
| Last Update Date | 01/04/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.