Individual
CANDACE COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 HUNTINGTON RD, SUITE 704, ATHENS, GA 30606-7204
(706) 552-0706
Mailing address
1 HUNTINGTON RD, SUITE 704, ATHENS, GA 30606-7204
(706) 552-0706
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006516
GA
Other
Enumeration date
02/18/2017
Last updated
02/18/2017
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