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Individual

CANDICE LYNN MURRELL-CANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC, LMHC, NCC

Contact information

Practice address
400 N 17TH ST, KEOKUK, IA 52632-3452
(319) 524-5734
(319) 524-5758
Mailing address
1706 W AGENCY RD, WEST BURLINGTON, IA 52655-1667
(319) 753-2300

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
074278
IA
101YP2500X
Professional Counselor
Primary
180012674
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180012674
IILINOIS DEPARTMENT OF FINANCIAL & PROFESSIONAL REGULATION
IL
Enumeration date
01/02/2020
Last updated
07/30/2024
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