| NPI | 1629613955 |
|---|---|
| Former Legal Business Name | CANDYCE SCOTT |
| Entity Type | Organization |
| Authorized Contact | CANDYCE Y SCOTT Owner, Lpc 860-212-9623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2023-01-25 |