Provider Demographics
NPI:1760039598
Name:TOWNSEND, CANDACE LYNN (CSAC)
Entity Type:Individual
Prefix:
First Name:CANDACE
Middle Name:LYNN
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 PHILLIPS VALLEY RD UNIT A
Mailing Address - Street 2:
Mailing Address - City:MARS HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28754-6117
Mailing Address - Country:US
Mailing Address - Phone:941-623-6843
Mailing Address - Fax:
Practice Address - Street 1:901 OLD MARS HILL HWY STE 3
Practice Address - Street 2:
Practice Address - City:WEAVERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28787-8628
Practice Address - Country:US
Practice Address - Phone:828-645-3687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)