Individual
JESSICA CANDELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 PARK PLACE BLVD, KISSIMMEE, FL 34741-2344
(407) 846-0023
Mailing address
2808 MOONSTONE BND, KISSIMMEE, FL 34758-2543
(407) 319-3225
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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