Individual
CANDICE MARIE ISAACSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LASAC
Contact information
Practice address
2911 W SUNNYSIDE DR, PHOENIX, AZ 85029-3302
(623) 980-6933
Mailing address
2911 W SUNNYSIDE DR, PHOENIX, AZ 85029-3302
(623) 980-6933
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15132
AZ
101YP2500X
Professional Counselor
Primary
18701
AZ
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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