person
Candice Lange
Professional Counselor in Fairfield, Connecticut
NPI 1487203352

Candice Lange is a Professional Counselor based in Fairfield, CT and is specialized in Professional. Candice Lange practices in Fairfield, CT. The NPI Number for Candice Lange is 1487203352 and holds a License No. 003821 (Connecticut).

The current practice location address for Candice Lange is 125 Penfield Rd, Fairfield, CT and can be reached out via phone at 203-255-5777.

Location: 125 Penfield Rd, Fairfield, CT, 06824-6611
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Provider Profile Details
NPI Number
1487203352
Provider Name
Candice Lange
Credential
Provider Entity Type
Individual
Gender
Female
Address
125 Penfield Rd, Fairfield, CT, 06824-6611
Phone Number
203-255-5777
Fax Number
Provider Enumeration Date
09/04/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004069985 05 CT
institution
Provider Business Practice Location Address Details
Address
125 Penfield Rd
City
State
Zip
06824-6611
Phone Number
203-255-5777
Fax Number
person
Provider Business Mailing Address Details
Address
125 Penfield Rd
City
State
Zip
06824-6611
Phone Number
203-255-5777
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
003821 (Connecticut)
Definition
Definition to come...
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