Provider Demographics
NPI:1316018278
Name:FOLDEN, CANDACE (LPC)
Entity Type:Individual
Prefix:
First Name:CANDACE
Middle Name:
Last Name:FOLDEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:826 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1502
Mailing Address - Country:US
Mailing Address - Phone:336-691-1100
Mailing Address - Fax:336-691-9542
Practice Address - Street 1:826 N ELM ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1502
Practice Address - Country:US
Practice Address - Phone:336-691-1100
Practice Address - Fax:336-691-9542
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3366101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102143Medicaid