Individual
CANDACE BYNUM-OMODUNNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1394 LANEY WALKER BLVD, AUGUSTA, GA 30901-2763
(706) 737-1119
(706) 737-1127
Mailing address
1394 LANEY WALKER BLVD, AUGUSTA, GA 30901-2763
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC003982
GA
Other
Enumeration date
10/11/2013
Last updated
11/07/2024
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