Individual
MRS. CANDACE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21733 PROVINCIAL BLVD STE 820, KATY, TX 77450-6536
(985) 381-6423
Mailing address
27723 COLD SPRING TRCE, KATY, TX 77494-6917
(985) 381-6423
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
82074
TX
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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