Provider Demographics
NPI:1811385610
Name:JONES, CANDIDA STARR (LPCC)
Entity Type:Individual
Prefix:MS
First Name:CANDIDA
Middle Name:STARR
Last Name:JONES
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 DELAMAR AVE NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-3323
Mailing Address - Country:US
Mailing Address - Phone:505-570-7721
Mailing Address - Fax:
Practice Address - Street 1:1320 DELAMAR AVE NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-3323
Practice Address - Country:US
Practice Address - Phone:505-570-7721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-31
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0190761101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional