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DR. CANDACE PARK PH.D.
NPI 1811607732
Counselor - Professional in Richmond, KY

Active since December 01, 2022
205 SWEET MAPLE DR, RICHMOND, KY 40475(931) 629-6013 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Candace Park Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CANDACE PARK PH.D. (NPI 1811607732) is an individual professional provider in Richmond, Kentucky, licensed in Kentucky (262239) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1811607732
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. CANDACE PARKCredential: PH.D.
Location Address205 SWEET MAPLE DRRichmond, KY 40475-8045
Mailing Address205 Sweet Maple DrRichmond, KY 40475-8045 · (931) 629-6013
Phone(931) 629-6013
Sole ProprietorYes
Enumeration DateDecember 1, 2022
NPPES CertifiedDecember 1, 2022
✔ NPI 1811607732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in KY · 262239✔ Licensed in LA · 4323✔ Licensed in AL · 3471
205 SWEET MAPLE DR, Richmond, KY 40475
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candace Park's NPI number?

The NPI number for Candace Park is 1811607732. It was assigned to this individual provider in the NPPES registry on December 1, 2022.

Where is Candace Park located?

Candace Park practices at 205 Sweet Maple Dr, Richmond, KY 40475. The listed phone number is (931) 629-6013.

What is Candace Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Candace Park was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.