Individual
CANDICE BLACKBURN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
274 SOUTHLAND DR STE 204, LEXINGTON, KY 40503-1946
(859) 278-3456
Mailing address
274 SOUTHLAND DR STE 204, LEXINGTON, KY 40503-1946
(859) 278-3456
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
KY-1256
KY
101YP2500X
Professional Counselor
Primary
KY-1256
KY
Other
Enumeration date
01/25/2011
Last updated
07/01/2025
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