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Individual
CANDACE LITAKER HEADLAND
Active
Individual
CANDACE LITAKER HEADLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC04768
AL
101YA0400X
Addiction (Substance Use Disorder) Counselor
ALC04768
AL
101YM0800X
Mental Health Counselor
ALC04768
AL
Other
Enumeration date
01/26/2024
Last updated
01/29/2024
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