Individual
DR. CANDACE VIVIAN LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4263 CLARK ST, GLENWOOD SPRINGS, CO 81601-4591
(847) 767-3540
Mailing address
423 CLARK ST, GLENWOOD SPRINGS, CO 81601
(847) 767-3540
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071006472
IL
103TC0700X
Clinical Psychologist
Primary
PSY0003624
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1636008
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/22/2007
Last updated
09/21/2023
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