NPI 1003410648
Candice Jillian Duckworth
Practice location
- Address
- 3050 Fifth Ave STE 100, Ketchikan, AK 99901-5773
- Phone
- (907) 463-0627
- Mailing address
- 884 Brown Deer Rd, Ketchikan, AK 99901-6211
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003410648
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Nov 2020
- Record last updated
- 18 Sep 2024
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.