Provider Demographics
NPI:1285518423
Name:CANDOCIA, OLIVIA ANNE (MA)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:ANNE
Last Name:CANDOCIA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:ANNE
Other - Last Name:CANDOCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:1340 SHERMER RD STE 280
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-4589
Mailing Address - Country:US
Mailing Address - Phone:312-620-0217
Mailing Address - Fax:
Practice Address - Street 1:1340 SHERMER RD STE 280
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-4589
Practice Address - Country:US
Practice Address - Phone:312-620-0217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health