Provider Demographics
NPI:1942395512
Name:SINCLAIR, CANDACE V (LCPC)
Entity Type:Individual
Prefix:
First Name:CANDACE
Middle Name:V
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24380 N SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-9723
Mailing Address - Country:US
Mailing Address - Phone:847-516-6427
Mailing Address - Fax:847-516-6428
Practice Address - Street 1:101 N VIRGINIA ST
Practice Address - Street 2:SUITE 160
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-3454
Practice Address - Country:US
Practice Address - Phone:815-459-0499
Practice Address - Fax:815-788-0183
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health