Candida Phelps

NPI #1093245201 in Madisonville, Kentucky

Provider Information

NPI Number: 1093245201
Entity Type: Individual
Name: Candida Phelps
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jun 20, 2017
Last Updated: Jun 20, 2017

Practice Location

Address: 200 CLINIC DR
City: Madisonville
State: Kentucky
ZIP Code: 42431-1661
Phone: (270) 821-8874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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