Individual
CANDYCE YVONNE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
61 S MAIN ST STE 310, WEST HARTFORD, CT 06107
(860) 325-3119
Mailing address
PO BOX 2113, NEW BRITAIN, CT 06050-2113
(860) 212-9623
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3607
CT
101YP2500X
Professional Counselor
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
823916357
—
CT
Enumeration date
11/27/2018
Last updated
11/25/2019
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