Individual
MRS. CANDACE ALEXIS BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1825 MARIKA RD, FAIRBANKS, AK 99709-5521
(907) 474-0890
(907) 451-8945
Mailing address
1825 MARIKA RD, FAIRBANKS, AK 99709-5521
(907) 474-0890
(907) 451-8945
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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