Individual
CANDACE A SHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, NCC
Contact information
Practice address
614 CRESCENT HILLS PL, LAKELAND, FL 33813-4671
(863) 370-1267
Mailing address
614 CRESCENT HILLS PL, LAKELAND, FL 33813-4671
(863) 370-1267
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
MH5879
FL
101YS0200X
School Counselor
—
FL
Other
Enumeration date
05/15/2022
Last updated
05/15/2022
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