| Doctor Name: | MS. CANDACE ANNE BLASE |
| NPI Number: | 1003155078 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPAT |
| License Number: | ATC003 |
| Business Practice Address: | 5560 Sterrett Pl Suite 201 Columbia, MD - 210442601 |
| Business Phone Number: | 4435464000 |
| Business Fax Number: | 4435464005 |
| Mailing Address: | 14601 Roxbury Rd, GLENELG |
| State: | MD |
| Postal Code: | 217379611 |
| Phone Number: | 4432800677 |
| Fax Number: | |
| NPI Enumeration Date: | 02/11/2013 |
| NPI Last Update Date: | 02/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | ATC003 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |