Provider Demographics
NPI:1891016200
Name:TRIPLETT, CANDACE LEAH (MT-BC, NCC, LPC)
Entity Type:Individual
Prefix:MS
First Name:CANDACE
Middle Name:LEAH
Last Name:TRIPLETT
Suffix:
Gender:F
Credentials:MT-BC, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 TAYLORSVILLE RD SE
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-8312
Mailing Address - Country:US
Mailing Address - Phone:828-754-6963
Mailing Address - Fax:
Practice Address - Street 1:1235 TAYLORSVILLE RD SE
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-8312
Practice Address - Country:US
Practice Address - Phone:828-754-6963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-20
Last Update Date:2010-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6502101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional