Provider Demographics
NPI:1487142303
Name:ZULAK, KANDACE LECHEL (CADC, LCMHCA)
Entity type:Individual
Prefix:
First Name:KANDACE
Middle Name:LECHEL
Last Name:ZULAK
Suffix:
Gender:F
Credentials:CADC, LCMHCA
Other - Prefix:
Other - First Name:KANDACE
Other - Middle Name:
Other - Last Name:COATES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 RAVENSCROFT DR STE 102
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3683
Mailing Address - Country:US
Mailing Address - Phone:828-827-7239
Mailing Address - Fax:828-579-2777
Practice Address - Street 1:5 RAVENSCROFT DR STE 102
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3683
Practice Address - Country:US
Practice Address - Phone:828-827-7239
Practice Address - Fax:828-579-2777
Is Sole Proprietor?:No
Enumeration Date:2018-04-26
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
NCA20994101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)