Individual
CANDACE BOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
18743 ROLLER COASTER RD, MONUMENT, CO 80132-8352
(303) 875-7438
Mailing address
18285 ROLLER COASTER RD, MONUMENT, CO 80132-8352
(719) 354-5237
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000929
CO
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
12/18/2024
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