Most Relevant Information
Provider Data
| NPI Number: | 1003317264 |
| Provider Name: | CANDACE PENN LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 3599 |
Most Important Dates
| Enumeration Date: | 02/23/2018 |
| Last Updated: | 02/23/2018 |
Provider Practice Location
19815 BAY BRANCH RD
ANDALUSIA
AL
364209234
Practice Location Phone/Fax
| Phone: | 3344880153 |
| Fax: |
Provider Mailing Location
1279 ELM STREET RD
TROY
AL
360814664
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |