Provider Demographics
NPI:1871904375
Name:MUZIO, CANDY (NCAC II, CADC II)
Entity type:Individual
Prefix:
First Name:CANDY
Middle Name:
Last Name:MUZIO
Suffix:
Gender:F
Credentials:NCAC II, CADC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 870
Mailing Address - Street 2:
Mailing Address - City:LAYTONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95454-0870
Mailing Address - Country:US
Mailing Address - Phone:707-984-6131
Mailing Address - Fax:707-984-7337
Practice Address - Street 1:50 BRANSCOMB ROAD
Practice Address - Street 2:
Practice Address - City:LAYTONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95454
Practice Address - Country:US
Practice Address - Phone:707-984-6131
Practice Address - Fax:707-984-7337
Is Sole Proprietor?:No
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator