Healthcare Provider Details

I. General information

NPI: 1760039598
Provider Name (Legal Business Name): CANDACE LYNN TOWNSEND CSAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2019
Last Update Date: 08/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 OLD MARS HILL HWY STE 3
WEAVERVILLE NC
28787-8628
US

IV. Provider business mailing address

119 PHILLIPS VALLEY RD UNIT A
MARS HILL NC
28754-6117
US

V. Phone/Fax

Practice location:
  • Phone: 828-645-3687
  • Fax:
Mailing address:
  • Phone: 941-623-6843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: