Whalio Doctors

NPI 1003317264

Candace Penn, LPC

Practitioner Professional Counselor Andalusia, AL

Practice location

Address
19815 Bay Branch Rd, Andalusia, AL 36420-9234
Phone
(334) 488-0153
Mailing address
1279 Elm Street Rd, Troy, AL 36081-4664

Registered specialties

Professional Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 3599 (AL)

Registry record

NPI
1003317264
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 Feb 2018
Record last updated
23 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.