Provider Demographics
NPI:1851443006
Name:OSBORN, CANDACE WILLIAMS (MFT)
Entity Type:Individual
Prefix:MS
First Name:CANDACE
Middle Name:WILLIAMS
Last Name:OSBORN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 GREENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-3416
Mailing Address - Country:US
Mailing Address - Phone:650-323-9629
Mailing Address - Fax:650-323-2585
Practice Address - Street 1:261 HAMILTON AVE
Practice Address - Street 2:SUITE #419
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2533
Practice Address - Country:US
Practice Address - Phone:650-322-1245
Practice Address - Fax:650-322-1262
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 44605106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist