Individual
CANDACE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,MHP
Contact information
Practice address
7610 40TH ST W, UNIVERSITY PLACE, WA 98466-3834
(253) 677-9452
Mailing address
7610 40TH ST S, UNIVERSITY PLACE, WA 98466
(931) 538-2855
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/07/2017
Last updated
12/05/2018
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