Doctor Name: | CANDACE HEMBREE |
NPI Number: | 1407108178 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 3936 |
Business Practice Address: | 212 North Washington Monument, CO - 80132 |
Business Phone Number: | 7196504139 |
Business Fax Number: | 7193623998 |
Mailing Address: | Po Box 2222, MONUMENT |
State: | CO |
Postal Code: | 801322297 |
Phone Number: | 7196504139 |
Fax Number: | 7193623998 |
NPI Enumeration Date: | 10/05/2012 |
NPI Last Update Date: | 10/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3936 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |