Individual
MS. CANDICE JILLIAN DUCKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3050 FIFTH AVE STE 100, KETCHIKAN, AK 99901-5773
(907) 463-0627
Mailing address
884 BROWN DEER RD, KETCHIKAN, AK 99901-6211
(907) 617-0578
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021118
—
AK
05
—
1584706
—
AK
Enumeration date
11/24/2020
Last updated
09/18/2024
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