National Provider Identifier

Candice A Cleveland, LCSWR

Candice A Cleveland, LCSWR is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Corning, NY and a listed phone number of (607) 962-3148.

NPI 1689712820Corning, NYMental Health Counselor

Profile Overview

NPI
1689712820
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
February 01, 2007
Last Updated
July 08, 2007

Practice Location

  • 280 Princeton Avenue Ext
  • Corning, NY 14830-1524

Phone: (607) 962-3148

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1689712820
Entity Type
Individual
Last Name
Cleveland
First Name
Candice
Middle Name
A
Name Prefix
MS.
Credential
LCSWR
Mailing Street Address
280 Princeton Avenue Ext
Mailing City
Corning
Mailing State
NY
Mailing ZIP Code
14830-1524
Mailing Country
US
Mailing Phone
(607) 962-3148
Mailing Fax
(607) 962-8422
Practice Street Address
280 Princeton Avenue Ext
Practice City
Corning
Practice State
NY
Practice ZIP Code
14830-1524
Practice Country
US
Practice Phone
(607) 962-3148
Practice Fax
(607) 962-8422
Enumeration Date
February 01, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)
Other Identifiers
541658 (NY, Value Option), 98114980 (NY, United Behavioral Health)