Provider Demographics
NPI:1144881277
Name:LAWSON-CROSSFIELD, CANDACE (MA, LMHC)
Entity type:Individual
Prefix:
First Name:CANDACE
Middle Name:
Last Name:LAWSON-CROSSFIELD
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 808
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:WA
Mailing Address - Zip Code:98231-0808
Mailing Address - Country:US
Mailing Address - Phone:360-218-4868
Mailing Address - Fax:
Practice Address - Street 1:373 MARTIN ST STE 201
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:WA
Practice Address - Zip Code:98230-4125
Practice Address - Country:US
Practice Address - Phone:360-218-4868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-28
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WALH61332746OtherWASHINGTON STATE DEPARTMENT OF HEALTH