Provider Demographics
NPI:1063781078
Name:CARTNER, CANDICE MCDOWELL (LPC, MA, NCC)
Entity type:Individual
Prefix:MRS
First Name:CANDICE
Middle Name:MCDOWELL
Last Name:CARTNER
Suffix:
Gender:F
Credentials:LPC, MA, NCC
Other - Prefix:MISS
Other - First Name:CANDICE
Other - Middle Name:ASHTON
Other - Last Name:MCDOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, MA, NCC
Mailing Address - Street 1:5033 SELENA ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-2328
Mailing Address - Country:US
Mailing Address - Phone:828-551-2976
Mailing Address - Fax:
Practice Address - Street 1:4140 CHERRY ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27105-2536
Practice Address - Country:US
Practice Address - Phone:828-551-2976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-20
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8457101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional