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Individual

KANDICE MAKAYLA NIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
T-CADC

Contact information

Practice address
1700 CARGO CT, JEFFERSONTOWN, KY 40299-1938
(855) 694-8288
Mailing address
4710 CLARMAR RD, JEFFERSONTOWN, KY 40299-1005
(229) 591-8422

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
295178
KY

Other

Enumeration date
05/05/2025
Last updated
05/05/2025
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