Individual
MS. CANDICE AYCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6 COKER DR SW, ROME, GA 30165-3449
(706) 936-7394
Mailing address
103 BENTON DR NW, ROME, GA 30165-1701
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3165
GA
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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