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MRS. CANDIA ALEA TOLBERT

Behavioral Analyst

Sparks, Nevada

Provider NPI: 1538352166

Provider Information:
MRS. CANDIA ALEA TOLBERT 
Gender: F
Not Sole Proprietor

Practice Location:
895 ROBERTA LN STE 101  SPARKS, NV 89431 US
Tel: 775-331-6252  Fax: 775-331-6250

Business Mailing Address:
895 ROBERTA LANE, SUITE 101  SPARKS, NV 89431 US
Tel: 775-331-6252  Fax: 775-331-6250

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103K00000X

N101YS0200XBehavioral Health & Social Service Providers
Counselor
Y104100000XBehavioral Health & Social Service Providers
Social Worker
NV4121-S

Other Provider Identifiers:

IssuerNumberStateType
08272007792108NV05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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