| Candace Kimbrough Lpc Lcdc | |
|
12600 Schreiner Ct Austin TX 78732-2245 | |
| (404) 583-6540 | |
| Not Available |
| Full Name | Candace Kimbrough Lpc Lcdc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 12600 Schreiner Ct, Austin, Texas |
| Authorized Official Name and Position | Candace Kimbrough (MANAGING MEMBER) |
| Authorized Official Contact | 4045836540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Candace Kimbrough Lpc Lcdc 12600 Schreiner Ct Austin TX 78732-2245 Ph: () - | Candace Kimbrough Lpc Lcdc 12600 Schreiner Ct Austin TX 78732-2245 Ph: (404) 583-6540 |
| NPI Number | 1952994899 |
|---|---|
| Provider Enumeration Date | 02/11/2021 |
| Last Update Date | 02/11/2021 |
| Certification Date | 02/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952994899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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