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General NPI Number Information
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NPI Number | 1235779208
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Entity Type | Individual
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Provider Name | CANDYCE BELL LCPC
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Gender | Female
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 635 W HIGHWAY 50
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City | O FALLON
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State | IL
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Zip | 62269-1941
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Country | US
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Telephone | 618-575-0020
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Fax |
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Provider Business Mailing Address
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Address Line | 1523 PICKETTS CT
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City | O FALLON
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State | IL
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Zip | 62269-6665
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Country | US
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Telephone |
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 178.015341
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 180.013339
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License Number State | IL
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