Individual
CANDISE ROSE EPPERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
4422 NE DEVILS LAKE BLVD, LINCOLN CITY, OR 97367-5000
(541) 265-4196
(541) 994-1882
Mailing address
66984 HIGHWAY 241, COOS BAY, OR 97420-6588
(541) 720-7790
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/18/2012
Last updated
10/25/2016
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