Provider Demographics
NPI:1255613337
Name:CUDD, CANDACE DAWN SEXTON (LPC)
Entity type:Individual
Prefix:
First Name:CANDACE
Middle Name:DAWN SEXTON
Last Name:CUDD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CANDACE
Other - Middle Name:DAWN
Other - Last Name:SEXTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13615 SAINT MARYS LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-3439
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2118 GRAND BLVD
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-3402
Practice Address - Country:US
Practice Address - Phone:281-660-0327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62799101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional