Individual provider · Type 1 NPI
Candace Park, PhD
Professional Counselor · Richmond, KY
NPI number
1811607732
Active
Practice location
205 Sweet Maple Dr
Richmond, KY 40475-8045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 4323 (LA) |
| Professional Counselor | 101YP2500X | 3471 (AL) |
| Professional Counselor Primary | 101YP2500X | 262239 (KY) |
Professional Counselor: Definition to come...
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About NPI 1811607732
Candace Park, PhD's National Provider Identifier is 1811607732, issued on Dec 1, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Richmond, KY. The record was last updated on Dec 1, 2022.