Candice Kay Maidens
Counselor in Roseburg, OR. Individual provider (NPI-1).
NPI number1477752012
StatusActive
Last updated in NPPESJul 13, 2007
Details
- NPI
- 1477752012
- Entity type
- Individual (NPI-1)
- Name
- Candice Kay Maidens
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2007
- Last updated
- Jul 13, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
612 Se Jackson St Ste 11Roseburg, OR 97470-4956
Phone 541-464-6455
Mailing address
612 Se Jackson St Ste 11Roseburg, OR 97470-4956
Phone 541-464-6455
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