Provider Demographics
NPI:1740012350
Name:STEELE, CANDIE K
Entity type:Individual
Prefix:
First Name:CANDIE
Middle Name:K
Last Name:STEELE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 SAINT JAMES ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-5134
Mailing Address - Country:US
Mailing Address - Phone:740-692-9442
Mailing Address - Fax:740-915-2005
Practice Address - Street 1:245 SAINT JAMES ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-5134
Practice Address - Country:US
Practice Address - Phone:740-692-9442
Practice Address - Fax:740-915-2005
Is Sole Proprietor?:No
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPS.005427101YA0400X
101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)