Individual
CANDICE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LMHC
Contact information
Practice address
15055 NW 27TH AVE, OPA LOCKA, FL 33054-3365
(786) 466-2800
Mailing address
12708 SW 21ST ST, MIRAMAR, FL 33027-2602
(513) 290-2205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH25982
FL
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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