Organization
CANDACE CALLAGHAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE LYNN CALLAGHAN LPC, NCC (COUNSELOR)
(504) 908-6879
Entity
Organization
Contact information
Practice address
137 NORTH CLARK STREET, NEW ORLEANS, LA 70119
(504) 908-6879
Mailing address
137 N. CLARK STREET, NEW ORLEANS, LA 70119
(504) 908-6879
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
4431
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600762821
—
LA
Enumeration date
09/12/2013
Last updated
09/12/2013
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