Healthcare Provider Details

I. General information

NPI: 1104986579
Provider Name (Legal Business Name): CANDICE J. TOYODA LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NONE NONE NONE CRC

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 04/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 WILLOW PASS RD SUITE 140
CONCORD CA
94520-5223
US

IV. Provider business mailing address

1420 WILLOW PASS RD SUITE 140
CONCORD CA
94520-5223
US

V. Phone/Fax

Practice location:
  • Phone: 925-646-5441
  • Fax: 925-646-5680
Mailing address:
  • Phone: 925-521-5155
  • Fax: 925-646-5680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC333
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCRC50029
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: