CANDACE A GLAVIANO


Address: 107 Apoorva Ln, Smyrna, DE 19977-4810
Phone: 4439072739

CANDACE A GLAVIANO (NPI# 1639585367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639585367
Entity Type Individual
Full Name CANDACE A GLAVIANO
Credential LPCMH, CCDP-D, NCC
Practice Address 107 Apoorva Ln
Smyrna
DE 19977-4810
Practice Telephone 4439072739
Mailing Telephone 4439072739
Enumeration Date 2014-07-02
Last Update Date 2016-06-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
PC-0000761 DE Behavioral Health & Social Service Providers

Office Location

Street Address 107 APOORVA LN
City SMYRNA
State DE
Zip Code 19977-4810

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1659929214 Nykeya Jjmes Counselor 2411 Ellard Ter Se, Smyrna, GA 30080-4808 2019-08-27
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Competitor

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City SMYRNA
Zip Code 19977

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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