Jupiter, Candyce
Jupiter, Candyce is an individual health care provider with primary practice located at 106 E 4Th St Ste A , O Fallon IL 62269-2104. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Jupiter, Candyce can be contacted via phone (847) 340-1922.Contact Information
Primary practice address
106 E 4Th St Ste A
O Fallon IL 62269-2104
Phone: (847) 340-1922
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 178.015341 | Illinois |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 180.013339 | Illinois |
Profile Details
| NPI number | 1235779208 |
|---|---|
| LBN Legal business name | Jupiter, Candyce |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2020 |
| Last updated | Dec 22nd, 2022 - 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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