Provider Demographics
NPI:1457774259
Name:WILLIAMS, CANDISS (MA, LPC)
Entity type:Individual
Prefix:
First Name:CANDISS
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8322 CACTUS WREN HL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-4090
Mailing Address - Country:US
Mailing Address - Phone:816-301-2350
Mailing Address - Fax:816-873-1588
Practice Address - Street 1:8322 CACTUS WREN HL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-4090
Practice Address - Country:US
Practice Address - Phone:816-301-2350
Practice Address - Fax:816-873-1588
Is Sole Proprietor?:No
Enumeration Date:2014-01-29
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014001218101YP2500X
MN3708101YP2500X
TX83194101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional