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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CANDACE PARK, PH.D.

Active Sole Proprietor

DR. CANDACE PARK, PH.D. is a Professional Counselor healthcare provider located in RICHMOND, Kentucky. NPI 1811607732 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · RICHMOND, KY

Registration Details

NPI Number
1811607732
Provider Type
Individual
Gender
Female
NPI Issued
Dec 1, 2022 (3.6778846287611 yrs)
Last Updated
Dec 1, 2022
Licenses
4323 (LA)
3471 (AL)
262239 (KY)
Sole Proprietor
Yes

Practice Information

Address
205 SWEET MAPLE DR
RICHMOND, KY, 404758045
Browse KY providers · Browse ZIP 40475
Phone
9316296013
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in RICHMOND, KY

Name Credential NPI
MRS. JOAN MARIE MILLER DVM, MA 1306934401
MS. ADRA LEE FISHER LPCA 1043368525
MS. CANDELLA ANGEL CARROLL RITTENHOUSE MA, LPCA 1710035175
MRS. DARCY B MILLER LPCC 1356491203
MR. SAMUEL A MILLER MA 1811047699
STEPHANIE C MAGGARD LPCC 1639229412
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.