Provider Demographics
NPI:1295872836
Name:WARREN, CANDIE FRANCINE (MA, LMHC)
Entity type:Individual
Prefix:MS
First Name:CANDIE
Middle Name:FRANCINE
Last Name:WARREN
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 - 116TH AVENUE NE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004
Mailing Address - Country:US
Mailing Address - Phone:425-455-4070
Mailing Address - Fax:425-455-4928
Practice Address - Street 1:1611 116TH AVE NE
Practice Address - Street 2:SUITE 130
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3045
Practice Address - Country:US
Practice Address - Phone:425-455-4070
Practice Address - Fax:425-455-4928
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00008759101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health