Provider Demographics
NPI:1457425357
Name:HOLMES, CANDACE JUNE (MFT)
Entity Type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:JUNE
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9631 N NEVADA ST STE 311
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-3408
Mailing Address - Country:US
Mailing Address - Phone:509-316-2435
Mailing Address - Fax:
Practice Address - Street 1:9631 N NEVADA ST STE 311
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-3408
Practice Address - Country:US
Practice Address - Phone:509-316-2435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG60526563101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor