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Candace Dionelle Black-roney, LPC,SOTP,SATPCSAC
Addiction (Substance Use Disorder) Counselor in Dinwiddie, Virginia
NPI 1033126081

Candace Dionelle Black-roney is an Addiction (Substance Use Disorder) Counselor based in Dinwiddie, VA and is specialized in Addiction (Substance Use Disorder). Candace Dionelle Black-roney practices in Dinwiddie, VA and has the professional credentials of LPC,SOTP,SATPCSAC. The NPI Number for Candace Dionelle Black-roney is 1033126081 and holds a License No. 0812000207 (Virginia).

The current practice location address for Candace Dionelle Black-roney is 19234 Turkey Egg Rd, Dinwiddie, VA and can be reached out via phone at 804-586-2503 and via fax at 804-469-9570.

Location: 19234 Turkey Egg Rd, Dinwiddie, VA, 23841-2128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033126081
Provider Name
Candace Dionelle Black-roney
Credential
LPC,SOTP,SATPCSAC
Provider Entity Type
Individual
Gender
Female
Address
19234 Turkey Egg Rd, Dinwiddie, VA, 23841-2128
Phone Number
804-586-2503
Fax Number
804-469-9570
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
183170 01 VA SNTHEM
089425 01 VA SENTRA
083843 01 VA SENTATA
286047 01 VA ANTHEM
institution
Provider Business Practice Location Address Details
Address
19234 Turkey Egg Rd
City
Dinwiddie
State
Virginia
Zip
23841-2128
Phone Number
804-586-2503
Fax Number
804-469-9570
person
Provider Business Mailing Address Details
Address
19234 Turkey Egg Rd
City
Dinwiddie
State
Virginia
Zip
23841-2128
Phone Number
804-586-2503
Fax Number
804-469-9570
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Virginia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
0701002775 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
0812000207 (Virginia)
Definition
Definition to come...
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