Individual
CANDICE DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
68 WIND RIDGE LN, PURVIS, MS 39475-3595
(662) 371-3099
Mailing address
68 WIND RIDGE LN, PURVIS, MS 39475-3595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3357
MS
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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