CANDACE VIRGINIA BENTON

SAN BERNARDINO, CA
NPI1043483167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
101YP1600X Counselor, Pastoral
Enumeration Date2008-04-09
Last Update Date2014-04-01
Business Address
-- CANDACE VIRGINIA BENTON MSW
1480 TERRACITA DR
SAN BERNARDINO, CA 92404-1568
Phone number: 310-743-5035
Mailing Address
-- CANDACE VIRGINIA BENTON MSW
526 S SAN PEDRO ST
LOS ANGELES, CA 90013-2102
Phone number: 310-743-5035