Individual
MRS. CANDACE NAOMI GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
2711 ERNEST ST, LAKE CHARLES, LA 70601-8406
(337) 431-7194
(337) 431-7198
Mailing address
2711 ERNEST ST, LAKE CHARLES, LA 70601-8406
(337) 431-7194
(337) 431-7198
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649929
—
LA
Enumeration date
06/13/2016
Last updated
06/13/2016
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