Individual
MRS. CANDACE JEAN COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
845 EXECUTIVE LN, SUITE 100, ROCKLEDGE, FL 32955-3528
(321) 631-5538
(321) 631-5154
Mailing address
5180 PINE ST, COCOA, FL 32927-2080
(321) 634-5481
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH2161
FL
Other
Enumeration date
09/15/2006
Last updated
04/08/2008
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