Individual
CANDACE GAIL KENNEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4400 BUFFALO GAP RD STE 2550A, ABILENE, TX 79606-2723
(325) 668-9609
Mailing address
4400 BUFFALO GAP RD STE 3850, ABILENE, TX 79606-2729
(325) 668-9609
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
77980
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396643401
—
TX
Enumeration date
03/12/2019
Last updated
11/10/2021
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