Individual
CANDICE JEAN DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
130 MEDICAL CENTER DR, CARLETON, MI 48117-9461
(734) 654-2169
(734) 654-2535
Mailing address
8765 LEWIS AVE, TEMPERANCE, MI 48182-9300
(734) 847-3802
(734) 850-0520
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401018661
MI
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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