Gillespie, Candace L.
Gillespie, Candace L. is an individual health care provider with primary practice located at 829 W South St , Mound Bayou MS 38762-9797. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gillespie, Candace L. can be contacted via phone (662) 588-2481.Contact Information
Primary practice address
829 W South St
Mound Bayou MS 38762-9797
Phone: (662) 588-2481
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 6979 | |
Behavioral Health & Social Service Providers / School | 101YS0200X | 173503 | Mississippi |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1074 | Mississippi |
Profile Details
NPI number | 1710598586 |
---|---|
LBN Legal business name | Gillespie, Candace L. |
Credentials | ED. D., NCC, LPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 13th, 2020 |
Last updated | Aug 13th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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