Individual
CANDACE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
2604 S 4TH ST, LOUISVILLE, KY 40208-1530
(502) 436-3271
Mailing address
304 NEW ENGLAND CT, LOUISVILLE, KY 40214-4376
(502) 953-3622
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
290111
KY
104100000X
Social Worker
258454
KY
Other
Enumeration date
05/24/2023
Last updated
08/20/2024
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