Candace Berry, LPC

Individual provider Active NPI Professional Counselor · Buena Vista, VA

NPI 1033599196 · NPPES record last updated Jun 4, 2015

Key facts

NPI
1033599196
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
0701006188 (VA)
Practice address
1809 Magnolia Ave
Suite B
Buena Vista, VA 24416-3235
Phone
(434) 316-8909
Fax
(571) 266-6391
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701006188 VA Yes

Addresses

Primary practice location

1809 Magnolia Ave
Suite B
Buena Vista, VA 24416-3235

Mailing address

55 Lost Creek LN
Buena Vista, VA 24416-4021
Phone (540) 462-7931

Other providers in Buena Vista, VA

All providers in Buena Vista, VA · Professional Counselor in Virginia

Sources for this page

Verify at the official NPI Registry.