Provider Demographics
NPI:1699186189
Name:DOGANS, CANDICE (LMFT, MAC)
Entity Type:Individual
Prefix:MRS
First Name:CANDICE
Middle Name:
Last Name:DOGANS
Suffix:
Gender:F
Credentials:LMFT, MAC
Other - Prefix:
Other - First Name:CANDICE
Other - Middle Name:S
Other - Last Name:RAYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3442 S WREN DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-2420
Mailing Address - Country:US
Mailing Address - Phone:256-996-6419
Mailing Address - Fax:
Practice Address - Street 1:3707 E SOUTHERN AVE STE 2058
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-6217
Practice Address - Country:US
Practice Address - Phone:480-678-6039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-19
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35001893A106H00000X
AZLMFT-15216106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist