Provider Demographics
NPI:1215347075
Name:COX, CANDICE (LMHC)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7462 THUNDER VALLEY DR.
Mailing Address - Street 2:SUITE 4
Mailing Address - City:PEOSTA
Mailing Address - State:IA
Mailing Address - Zip Code:52068-9474
Mailing Address - Country:US
Mailing Address - Phone:319-536-3534
Mailing Address - Fax:319-536-3534
Practice Address - Street 1:7462 THUNDER VALLEY DR.
Practice Address - Street 2:SUITE 4
Practice Address - City:PEOSTA
Practice Address - State:IA
Practice Address - Zip Code:52068-5206
Practice Address - Country:US
Practice Address - Phone:319-536-3534
Practice Address - Fax:319-736-3534
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-02
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA073463101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health