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Individual

CANDICE RATLIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
767 MAIN ST, WEST LIBERTY, KY 41472-1019
(606) 743-3139
(606) 743-4336
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
UNLICENSED
103T00000X
Psychologist
Primary
103TC0700X
Clinical Psychologist
Primary
299093
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30610026
KY
Enumeration date
07/18/2013
Last updated
03/17/2026
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