Individual
CANDICE SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
511 WALNUT AVE, COLONIAL HEIGHTS, VA 23834-2835
(804) 601-8553
(804) 979-0373
Mailing address
7410 HULL STREET RD STE 200, NORTH CHESTERFIELD, VA 23235-5834
(804) 601-8553
(804) 979-0373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
0904017396
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30018025690001
—
VA
Enumeration date
11/03/2020
Last updated
04/22/2025
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