Provider Demographics
NPI:1598004897
Name:FINAN, CANDACE L (LPC)
Entity Type:Individual
Prefix:
First Name:CANDACE
Middle Name:L
Last Name:FINAN
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:PO BOX 81
Mailing Address - Street 2:
Mailing Address - City:NEW MELLE
Mailing Address - State:MO
Mailing Address - Zip Code:63365-0081
Mailing Address - Country:US
Mailing Address - Phone:314-578-6629
Mailing Address - Fax:636-333-4510
Practice Address - Street 1:2200 W PORT PLAZA DR STE 326
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-3214
Practice Address - Country:US
Practice Address - Phone:314-578-6629
Practice Address - Fax:636-333-4510
Is Sole Proprietor?:No
Enumeration Date:2013-02-06
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005016666101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health