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Candise Thomas
Addiction (Substance Use Disorder) Counselor in Gastonia, North Carolina
NPI 1770945354

Candise Thomas is an Addiction (Substance Use Disorder) Counselor based in Gastonia, NC and is specialized in Addiction (Substance Use Disorder). Candise Thomas practices in Gastonia, NC. The NPI Number for Candise Thomas is 1770945354 and holds a License No. 202493799 (North Carolina).

The current practice location address for Candise Thomas is 2505 Court Dr, Gastonia, NC and can be reached out via phone at 704-842-6359 and via fax at 704-854-4860. You can also correspond with Candise Thomas through the mailing address at 2505 COURT DR, GASTONIA, NC - 28054-2140 (mailing address contact number: 704-842-6359).

Location: 2505 Court Dr, Gastonia, NC, 28054-2140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770945354
Provider Name
Candise Thomas
Credential
Provider Entity Type
Individual
Gender
Female
Address
2505 Court Dr, Gastonia, NC, 28054-2140
Phone Number
704-842-6359
Fax Number
704-854-4860
Provider Enumeration Date
03/23/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CSAC2256 01 NC NC SUBSTANCE ABUSE LICENSING BOARD
2535 01 NC NCSAPPB
institution
Provider Business Practice Location Address Details
Address
2505 Court Dr
City
Gastonia
State
North Carolina
Zip
28054-2140
Phone Number
704-842-6359
Fax Number
704-854-4860
person
Provider Business Mailing Address Details
Address
2505 Court Dr
City
Gastonia
State
North Carolina
Zip
28054-2140
Phone Number
704-842-6359
Fax Number
704-854-4860
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CSAC 2256 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
202493799 (North Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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