Provider Demographics
NPI:1124655717
Name:LAMERE, CANDICE KAY (ASSOCIATE MFT)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:KAY
Last Name:LAMERE
Suffix:
Gender:F
Credentials:ASSOCIATE MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 DIANTHUS LN
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-6816
Mailing Address - Country:US
Mailing Address - Phone:310-993-9411
Mailing Address - Fax:
Practice Address - Street 1:1009 DIANTHUS LN
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-6816
Practice Address - Country:US
Practice Address - Phone:310-993-9411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA115622106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist