MEDICARE: CANDACE JOYNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCAS-24417	NC
2	101YM0800X	Mental Health Counselor	P020349	NC
3	1041C0700X	Clinical Social Worker	P020349	NC

General Provider Information

NPI Number	:	1679232326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDACE JOYNER

Provider Business Mailing Address
First Line	:	208 LADDEN LN
Second Line	:
City	:	RAEFORD
State	:	NC
Zip	:	28376-8953
Country	:	US
Telephone Number	:	910-416-9988
Fax Number	:

Provider Business Practice Location Address
First Line	:	302 W 24TH ST
Second Line	:
City	:	LUMBERTON
State	:	NC
Zip	:	28358-3510
Country	:	US
Telephone Number	:	910-416-9988
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2021
Last Update Date	:	06/15/2026

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Directions to “ CANDACE JOYNER ” Practice Location

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