Individual
CANDACE ELIS ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
2631A ARMAND PL, SAINT LOUIS, MO 63104-2225
(314) 459-7313
Mailing address
2631A ARMAND PL, SAINT LOUIS, MO 63104-2225
(314) 459-7313
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
2011013937
MO
104100000X
Social Worker
—
—
Other
Enumeration date
01/21/2011
Last updated
12/30/2018
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