Organization
CANDACE KIMBROUGH LPC LCDC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE KIMBROUGH (MANAGING MEMBER)
(404) 583-6540
Entity
Organization
Contact information
Practice address
12600 SCHREINER CT, AUSTIN, TX 78732-2245
(404) 583-6540
Mailing address
12600 SCHREINER CT, AUSTIN, TX 78732-2245
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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