Individual
CANDACE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IMH18911
Contact information
Practice address
10150 HIGHLAND MANOR DR., SUITE 200, TAMPA, FL 33610
(813) 314-2200
Mailing address
1403 CRISTO REY PL, PLANT CITY, FL 33566-8405
(813) 400-4482
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205273570
NPI
—
Enumeration date
05/28/2013
Last updated
10/13/2020
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