Individual
CANDACE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1239 E MAIN ST, BARTOW, FL 33830-5058
(863) 519-0575
(863) 582-9251
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
(863) 519-0575
(863) 582-9251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12002
FL
171M00000X
Case Manager/Care Coordinator
MH12002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009458600
—
FL
05
—
009882900
—
FL
Enumeration date
11/30/2010
Last updated
03/19/2014
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