Provider Demographics
NPI:1801195813
Name:DARWIN, CANDICE (LPC)
Entity type:Individual
Prefix:MRS
First Name:CANDICE
Middle Name:
Last Name:DARWIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 SOLON RD
Mailing Address - Street 2:#314
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-1439
Mailing Address - Country:US
Mailing Address - Phone:254-715-2486
Mailing Address - Fax:
Practice Address - Street 1:380 SOLON RD
Practice Address - Street 2:#314
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-1439
Practice Address - Country:US
Practice Address - Phone:254-715-2486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66422101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor