Most Relevant Information
Provider Data
| NPI Number: | 1003410986 |
| Provider Name: | CANDICE DRYDEN CSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 15250 |
Most Important Dates
| Enumeration Date: | 11/23/2020 |
| Last Updated: | 12/01/2020 |
Provider Practice Location
457 2ND ST
COLFAX
LA
714171807
Practice Location Phone/Fax
| Phone: | 3188274357 |
| Fax: |
Provider Mailing Location
7719 HICKORY GROVE LOOP
DEVILLE
LA
713288212
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |