Provider Demographics
NPI:1750120630
Name:RONEMUS, CANDICE (LPC)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:
Last Name:RONEMUS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CANDICE
Other - Middle Name:
Other - Last Name:JONES RONEMUS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2205 WOOD CLIFF CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-4232
Mailing Address - Country:US
Mailing Address - Phone:817-899-5644
Mailing Address - Fax:
Practice Address - Street 1:4304 SW GREEN OAKS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-2367
Practice Address - Country:US
Practice Address - Phone:817-899-5644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86116101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor