Individual
CANDACE PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
19815 BAY BRANCH RD, ANDALUSIA, AL 36420-9234
(334) 488-0153
Mailing address
1279 ELM STREET RD, TROY, AL 36081-4664
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3599
AL
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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