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NPI Code Detail

MEDICARE: CANDICE WILLIAMS LPC

MEDICARE: CANDICE WILLIAMS LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorPRC14810TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PRC14810OTHERDCLICENSED PROFESSIONAL COUNSELOR

General Provider Information

NPI Number : 1053849117
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE WILLIAMS LPC
Provider Business Mailing Address
First Line : 1111 ARMY NAVY DR APT 1415
Second Line :
City : ARLINGTON
State : VA
Zip : 22202-2049
Country : US
Telephone Number : 202-713-0815
Fax Number :
Provider Business Practice Location Address
First Line : 2000 PEE ST NW STE 200
Second Line :
City : WASHINGTON
State : DC
Zip : 20036-6924
Country : US
Telephone Number : 301-641-1579
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2017
Last Update Date : 06/01/2017

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Directions to “ CANDICE WILLIAMS LPC” Practice Location

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