Individual
MR. DOUGLAS CANDELARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7095 ROUTE 287, WELLSBORO, PA 16901-6711
(570) 724-5272
(570) 724-4512
Mailing address
7095 ROUTE 287, WELLSBORO, PA 16901-6711
(570) 724-5272
(570) 724-4512
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PC001800
PA
101YM0800X
Mental Health Counselor
PC001800
PA
101YP2500X
Professional Counselor
PC001800
PA
106H00000X
Marriage & Family Therapist
PC001800
PA
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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