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Individual

CANDACE K JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
504 W BROADWAY AVE, AVA, MO 65608
(417) 683-5739
Mailing address
PO BOX 1359, AVA, MO 65608-1359
(417) 683-5739

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2009023297
MO
101YM0800X
Mental Health Counselor
992434
CO
1041C0700X
Clinical Social Worker
Primary
2009023297
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
496451204
MO
Enumeration date
03/31/2006
Last updated
12/22/2022
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