Individual
CANDACE KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1240 CANYON RD, SANTA FE, NM 87501-6128
(505) 989-9879
(505) 982-9122
Mailing address
1240 CANYON RD, SANTA FE, NM 87501-6128
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0807
NM
Other
Enumeration date
10/26/2006
Last updated
08/02/2007
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