Individual provider · Type 1 NPI
Candace Stout Wike, LPC
Professional Counselor · Amarillo, TX
NPI number
1033196258
Active
Practice location
6300 I-40 W, Ste 110
Amarillo, TX 79106-2523
Mailing address
3202 Hawthorne Dr
Amarillo, TX 79109-3416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 14877 (TX) |
Professional Counselor: Definition to come...
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About NPI 1033196258
Candace Stout Wike, LPC's National Provider Identifier is 1033196258, issued on Dec 29, 2005. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Amarillo, TX. The record was last updated on Jul 9, 2007.