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General NPI Number Information
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NPI Number | 1164219648
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Entity Type | Individual
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Provider Name | CANDICE MONIQUE TOWSEND LPC
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Gender | Female
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 1200 SCHWEGLER DR RM 2150
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City | LAWRENCE
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State | KS
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Zip | 66045-7558
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Country | US
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Telephone | 785-864-2277
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Fax | 785-864-2721
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Provider Business Mailing Address
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Address Line | 1200 SCHWEGLER DR RM 2150
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City | LAWRENCE
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State | KS
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Zip | 66045-7558
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Country | US
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Telephone | 785-864-2277
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Fax | 785-864-2721
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | LPC04631
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License Number State | KS
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