MEDICARE: CANDICE STEVENS 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
1	101YP2500X	Professional Counselor	37PC01268000	NJ

General Provider Information

NPI Number	:	1164201166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDICE STEVENS LPC

Provider Business Mailing Address
First Line	:	4800 N SCOTTSDALE RD STE 2500
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7630
Country	:	US
Telephone Number	:	732-982-2888
Fax Number	:

Provider Business Practice Location Address
First Line	:	740 MARNE HWY
Second Line	:
City	:	MOORESTOWN
State	:	NJ
Zip	:	08057-3126
Country	:	US
Telephone Number	:	732-982-2888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2023
Last Update Date	:	06/11/2026

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Directions to “ CANDICE STEVENS LPC” Practice Location

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