Individual
MRS. CANDACE MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.H.C.
Contact information
Practice address
1150 N 12TH AVE, PENSACOLA, FL 32501-3308
(850) 290-7768
(850) 273-6495
Mailing address
1150 N 12TH AVE, PENSACOLA, FL 32501-3308
(850) 898-0988
(850) 273-6495
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9224
FL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
9224
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01087230
—
FL
Enumeration date
07/06/2009
Last updated
06/16/2018
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