Individual
CANDACE DANIELLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
26099 HIGHWAY 59, SUITE A, LOXLEY, AL 36551
(251) 308-6160
(251) 262-6472
Mailing address
26099 HIGHWAY 59, SUITE A, LOXLEY, AL 36551
(251) 308-6160
(251) 262-6472
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4279
AL
Other
Enumeration date
06/19/2020
Last updated
01/06/2023
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