Provider Demographics
NPI:1942925060
Name:HENSLEE, CANDICE TEE (LPC)
Entity Type:Individual
Prefix:
First Name:CANDICE
Middle Name:TEE
Last Name:HENSLEE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CANDICE
Other - Middle Name:TEE
Other - Last Name:HENSLEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:432 WOODSON DR
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-6876
Mailing Address - Country:US
Mailing Address - Phone:615-423-9070
Mailing Address - Fax:
Practice Address - Street 1:423 WOODSON DR
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-6874
Practice Address - Country:US
Practice Address - Phone:615-423-9070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0018704101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty