Active NPIIndividual providerSole proprietor

Candice Tetrault

Counselor in Nantucket, Massachusetts

NPI Number1780086215
Practice location
20 Vesper Ln, L-1 Gouin Village, Nantucket, MA 02554-4394
Fax
—
Last updated
September 16, 2014

Candice Tetrault is a Counselor based in Nantucket, MA. Candice Tetrault practices in Nantucket, MA. The NPI Number for Candice Tetrault is 1780086215. The current practice location address for Candice Tetrault is 20 Vesper Ln, L-1 Gouin Village, Nantucket, MA 02554-4394 and can be reached out via phone at 508-228-2689.

Provider Profile Details

NPI Number
1780086215
Provider Name
Candice Tetrault
Provider Entity Type
Individual
Gender
Female
Address
20 Vesper Ln, L-1 Gouin Village, Nantucket, MA 02554-4394
Phone Number
508-228-2689
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 16, 2014
Last Update Date
September 16, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Vesper Ln
L-1 Gouin Village
Nantucket, MA 02554-4394
Zip
02554-4394
Phone Number
508-228-2689
Nantucket, MA 02554Get directions →

Provider Business Mailing Address Details

Address
20 Vesper Ln
L-1 Gouin Village
Nantucket, MA 02554-4394
City
Nantucket
State
MA
Zip
02554-4394
Phone Number
508-228-2689

License Information

Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Candice Tetrault?

The NPI number of Candice Tetrault is 1780086215. It was assigned on September 16, 2014 and is currently active in the NPPES registry.

What is the specialty of Candice Tetrault?

Candice Tetrault is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Candice Tetrault practice?

The practice location is 20 Vesper Ln, L-1 Gouin Village, Nantucket, MA 02554-4394. The office can be reached at 508-228-2689 (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 1780086215 directly on the NPPES registry website.

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