Provider Demographics
NPI:1053733832
Name:SNEED, CANDACE R (LPC)
Entity type:Individual
Prefix:DR
First Name:CANDACE
Middle Name:R
Last Name:SNEED
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CANDACE
Other - Middle Name:R
Other - Last Name:CORNELISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, NCC
Mailing Address - Street 1:3136 ARNOLD AVE SW
Mailing Address - Street 2:
Mailing Address - City:BOLLING AFB
Mailing Address - State:DC
Mailing Address - Zip Code:20032-7677
Mailing Address - Country:US
Mailing Address - Phone:210-727-4522
Mailing Address - Fax:
Practice Address - Street 1:3136 ARNOLD AVE SW
Practice Address - Street 2:
Practice Address - City:BOLLING AFB
Practice Address - State:DC
Practice Address - Zip Code:20032-7677
Practice Address - Country:US
Practice Address - Phone:210-727-4522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-13
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76710101YM0800X
KS03001101YM0800X
VA0701010326101YM0800X
KS2794101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health