Individual
CANDICE I KEMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCP, LPC
Contact information
Practice address
400 E CENTRAL AVE, PONCA CITY, OK 74601-5429
(580) 485-5814
Mailing address
430 S ELM ST, PONCA CITY, OK 74601-6001
(580) 716-7206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC06384
OK
101YP2500X
Professional Counselor
LPC06384
OK
Other
Enumeration date
02/03/2015
Last updated
12/05/2025
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