Individual
CANDIS SWEENEY MOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
232 2ND AVE S STE 201, KENT, WA 98032-5862
(253) 859-0300
(253) 859-0745
Mailing address
232 2ND AVE S STE 201, KENT, WA 98032-5862
(253) 859-0300
(253) 859-0745
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00007818
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5819SW
REGENCE RYDER NUMBER
WA
Enumeration date
01/30/2008
Last updated
01/30/2008
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