Boltuch-Fagan, Candace Ann

Boltuch-Fagan, Candace Ann is an sole proprietor health care provider with primary practice located at 2357 Lemoine Ave , Fort Lee NJ 07024. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Boltuch-Fagan, Candace Ann can be contacted via phone (201) 585-9814.

Contact Information

Primary practice address
2357 Lemoine Ave Fort Lee NJ 07024
Phone: (201) 585-9814
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0551 New Jersey

Profile Details

NPI number 1760577266
LBN Legal business name Boltuch-Fagan, Candace Ann
Credentials LPC;LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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