Individual
CANDACE LITAKER HEADLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CENTURY PARK S STE 128, BIRMINGHAM, AL 35226-3928
(251) 656-3945
Mailing address
700 CENTURY PARK S STE 128, BIRMINGHAM, AL 35226-3928
(205) 615-1108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC04768
AL
101YA0400X
Addiction (Substance Use Disorder) Counselor
ALC04768
AL
101YM0800X
Mental Health Counselor
ALC04768
AL
Other
Enumeration date
01/26/2024
Last updated
01/29/2024
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