Provider Demographics
NPI:1740503291
Name:DURMAN, CANDICE (MED-MFT, LMFT)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:
Last Name:DURMAN
Suffix:
Gender:F
Credentials:MED-MFT, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 W OLD AJ HWY
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37760-1801
Mailing Address - Country:US
Mailing Address - Phone:865-309-0714
Mailing Address - Fax:
Practice Address - Street 1:238 W OLD AJ HWY
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37760-1801
Practice Address - Country:US
Practice Address - Phone:865-309-0714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-11
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2438106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist