Individual
CANDY RENAE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-ASSOCIATE
Contact information
Practice address
1505 8TH ST, WICHITA FALLS, TX 76301-3106
(940) 322-3171
Mailing address
2202 HARRISON ST APT 131, WICHITA FALLS, TX 76308-1328
(940) 703-8227
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
90794
TX
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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