Individual provider · Type 1 NPI

Candace Slade

Mental Health Counselor · Los Angeles, CA

NPI number 1578720561 Active

Practice location

205 World Way
Los Angeles, CA 90045-5807

Call (310) 646-2270 Map

Fax (310) 646-1801

Mailing address

1507 Winona Blvd
Los Angeles, CA 90027-5003

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1578720561

Candace Slade's National Provider Identifier is 1578720561, issued on May 19, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on May 19, 2008.