Provider Demographics
NPI:1932821519
Name:HARMS, CANDACE (LPC)
Entity Type:Individual
Prefix:
First Name:CANDACE
Middle Name:
Last Name:HARMS
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 1:339 SANCTUARY PARK DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-2386
Mailing Address - Country:US
Mailing Address - Phone:302-757-2910
Mailing Address - Fax:
Practice Address - Street 1:339 SANCTUARY PARK DR
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-2386
Practice Address - Country:US
Practice Address - Phone:302-757-2910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7445101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional