Provider Demographics
NPI:1871018978
Name:ANDREWS, KANDACE (LCMHC)
Entity Type:Individual
Prefix:
First Name:KANDACE
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20901 TORRENCE CHAPEL RD STE 102B
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-6397
Mailing Address - Country:US
Mailing Address - Phone:704-360-0346
Mailing Address - Fax:
Practice Address - Street 1:20901 TORRENCE CHAPEL RD STE 102B
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-6397
Practice Address - Country:US
Practice Address - Phone:704-716-1146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13150101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health