Doctor Name: | MS. CANDACE LAIR |
NPI Number: | 1306186879 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCC, LPC |
License Number: | AN472743 |
Business Practice Address: | 9318 Highway 959 Slaughter, LA - 707774225 |
Business Phone Number: | 2252356008 |
Business Fax Number: | |
Mailing Address: | 9318 Highway 959, SLAUGHTER |
State: | LA |
Postal Code: | 707774225 |
Phone Number: | 2252356008 |
Fax Number: | |
NPI Enumeration Date: | 02/21/2013 |
NPI Last Update Date: | 02/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | AN472743 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |