Individual
CANDACE DUNIVEN HENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC-I
Contact information
Practice address
1012 W MACARTHUR AVE, ODESSA, TX 79763-3341
(432) 335-9659
(432) 580-2609
Mailing address
1012 W MACARTHUR AVE, ODESSA, TX 79763-3341
(432) 335-9659
(432) 580-2609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30108
TX
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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