Individual provider · Type 1 NPI

Candace Peterson Davis, LPC

Mental Health Counselor · Winston-Salem, NC

NPI number 1154543783 Active

Practice location

3821 Forrestgate Drive, Dba Forsyth Behavior Health
Winston-Salem, NC 27103

Mailing address

2000 Frontis Plaza Blvd, Suite 200 (forsyth Medical Group)
Winston-Salem, NC 27103-5616

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3871 (NC)
Addiction (Substance Use Disorder) Counselor 101YA0400X706 (NC)

Mental Health Counselor: Definition to come...

5 other providers at this address

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About NPI 1154543783

Candace Peterson Davis, LPC's National Provider Identifier is 1154543783, issued on May 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winston-Salem, NC. The record was last updated on Mar 16, 2015.