Candace Southall, LPC

NPI #1033730825 in Baytown, Texas

Provider Information

NPI Number: 1033730825
Entity Type: Individual
Name: Candace Southall, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: May 3, 2020
Last Updated: May 3, 2020

Practice Location

Address: 10314 DEVINWOOD DR
City: Baytown
State: Texas
ZIP Code: 77523-7649
Phone: (281) 435-2609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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