Individual
MS. CANDYCE KAY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 455-2101
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 455-2101
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0003393-SUPV
OH
101YP2500X
Professional Counselor
E0003393
OH
Other
Enumeration date
09/01/2006
Last updated
06/08/2016
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