Individual
MS. CANDICE M RAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
190 LILY CACHE LN, BOLINGBROOK, IL 60440-3415
(630) 441-6999
Mailing address
3540 SEVEN BRIDGES DR STE 300, WOODRIDGE, IL 60517-1222
(630) 481-6644
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/10/2018
Last updated
06/05/2019
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