Individual
CANDACE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 N 26TH ST STE 103, LAFAYETTE, IN 47904-2855
(765) 446-6528
Mailing address
415 N 26TH ST STE 201, LAFAYETTE, IN 47904-2856
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003639A
IN
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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