Individual
CANDACE ANN BOLTON-FLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
6058 S CHESTNUT ST, SUITE 100, PLATTEVILLE, WI 53818-8947
(608) 342-4863
Mailing address
4590 MARSHA LN, POTOSI, WI 53820-9683
(608) 763-2973
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1739-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39196200
—
WI
Enumeration date
09/17/2006
Last updated
07/08/2007
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