Individual
CANDACE R DELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LPCC, LMHC
Contact information
Practice address
4018 HENKE RD, WISCONSIN RAPIDS, WI 54495-9253
(715) 697-4928
Mailing address
4018 HENKE RD, WISCONSIN RAPIDS, WI 54495-9253
(715) 697-4928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
110339
IA
101YM0800X
Mental Health Counselor
61485659
WA
101YP2500X
Professional Counselor
13647
CA
101YP2500X
Professional Counselor
8026-125
WI
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
02/14/2024
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