Individual
MS. CANDACE LYNNE BLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
5505 JOHN ESKEW DR, ALEXANDRIA, LA 71303-3725
(318) 403-1557
Mailing address
100 HILTON CT, PINEVILLE, LA 71360-5673
(318) 403-1557
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1446
LA
1041C0700X
Clinical Social Worker
Primary
12475
LA
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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