Individual
CANDACE DELIGHT COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3707 E SOUTHERN AVE STE 2016, MESA, AZ 85206-6213
(602) 741-5077
Mailing address
17505 N 79TH AVE STE 213C, GLENDALE, AZ 85308-8728
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC-18525
AZ
101YM0800X
Mental Health Counselor
Primary
LAMFT-10664
AZ
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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