Individual
CANDACE DONALDSON-SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3745
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC006783
GA
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245688712
NPI
GA
Enumeration date
05/25/2016
Last updated
09/19/2022
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