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General NPI Number Information
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NPI Number | 1164137006
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Entity Type | Organization
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Legal Business Name | CANDOR THERAPY NETWORK PLLC
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 112 N ARTHUR ASHE BLVD
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City | RICHMOND
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State | VA
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Zip | 23220-4304
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Country | US
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Telephone | 703-249-9890
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Fax |
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Provider Business Mailing Address
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Address Line | 112 N ARTHUR ASHE BLVD
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City | RICHMOND
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State | VA
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Zip | 23220-4304
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Country | US
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Telephone | 703-249-9890
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Fax |
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Authorized Official
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Title or Position | THERAPIST AND CO-OWNER
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Name | MEGAN DAVIDSON
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Credential | LPC, MED
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Telephone | 703-249-9890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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