Provider Demographics
NPI:1669130449
Name:ALLO, CANDICE MANUEL (LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:CANDICE
Middle Name:MANUEL
Last Name:ALLO
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 STEINER RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6004
Mailing Address - Country:US
Mailing Address - Phone:337-831-5557
Mailing Address - Fax:
Practice Address - Street 1:224 STEINER RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6004
Practice Address - Country:US
Practice Address - Phone:337-831-5557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4549101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional