Individual
MISS KANDIS A SILVESTRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, LPC
Contact information
Practice address
2277 SWANSON AVE, STE B, LAKE HAVASU CITY, AZ 86403-5998
(928) 854-0110
(928) 854-0112
Mailing address
2277 SWANSON AVE, STE B, LAKE HAVASU CITY, AZ 86403-5998
(928) 854-0110
(928) 854-0112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC12176
AZ
101YM0800X
Mental Health Counselor
LPC-12176
AZ
Other
Enumeration date
01/03/2007
Last updated
10/08/2010
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