Individual
MS. CANDACE MARTIN PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
825 W STATE ST, STE. 107B, GENEVA, IL 60134-2080
(630) 234-7395
Mailing address
208 N 2ND ST, GENEVA, IL 60134-1437
(630) 702-9006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.002019
IL
Other
Enumeration date
07/08/2010
Last updated
11/01/2012
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