Individual
CANDICE ALEXANDRA LAWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO 60942269
Contact information
Practice address
221 N RACE ST, PORT ANGELES, WA 98362-3513
(360) 452-2443
Mailing address
221 N RACE ST, PORT ANGELES, WA 98362-3513
(360) 452-2443
(360) 452-2738
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60942269
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60942269
—
WA
Enumeration date
04/22/2019
Last updated
04/22/2019
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