Candace A Boltuch-Fagan, LPC;LCADC
Counselor, Professional in Fort Lee, New Jersey
1760577266- Practice location
- 2357 Lemoine Ave, Fort Lee, NJ 07024
- Phone
- 201-585-9814
- Fax
- —
- Last updated
- July 8, 2007
Candace Ann Boltuch-Fagan is a Counselor, Professional based in Fort Lee, NJ. Candace Ann Boltuch-Fagan practices in Fort Lee, NJ and has the professional credentials of LPC;LCADC. The NPI Number for Candace Ann Boltuch-Fagan is 1760577266 and holds a License No. 0551 (NJ). The current practice location address for Candace Ann Boltuch-Fagan is 2357 Lemoine Ave, Fort Lee, NJ 07024 and can be reached out via phone at 201-585-9814.
Provider Profile Details
- NPI Number
- 1760577266
- Provider Name
- Candace Ann Boltuch-Fagan
- Credential
- LPC;LCADC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2357 Lemoine Ave, Fort Lee, NJ 07024
- Phone Number
- 201-585-9814
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 3, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2357 Lemoine Ave
Fort Lee, NJ 07024 - City
- Fort Lee
- State
- New Jersey
- Zip
- 07024
- Phone Number
- 201-585-9814
Provider Business Mailing Address Details
- Address
- 177 Colonial RD
Emerson, NJ 07630-1153 - City
- Emerson
- State
- NJ
- Zip
- 07630-1153
- Phone Number
- 201-986-7478
License Information
- License Number
- 0551
- License State
- NJ
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Candace A Boltuch-Fagan, LPC;LCADC?
The NPI number of Candace A Boltuch-Fagan, LPC;LCADC is 1760577266. It was assigned on October 3, 2006 and is currently active in the NPPES registry.
What is the specialty of Candace A Boltuch-Fagan, LPC;LCADC?
Candace A Boltuch-Fagan, LPC;LCADC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 0551.
Where does Candace A Boltuch-Fagan, LPC;LCADC practice?
The practice location is 2357 Lemoine Ave, Fort Lee, NJ 07024. The office can be reached at 201-585-9814 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760577266 directly on the NPPES registry website.