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General NPI Number Information
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NPI Number | 1295944569
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Entity Type | Individual
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Provider Name | CANDICE MARIA FEDERICO LMHC, CAP
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 801 SE 6TH AVE STE 206 & 202
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5185
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Country | US
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Telephone | 561-279-2080
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Fax | 561-279-2898
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Provider Business Mailing Address
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Address Line | P. O. BOX 3281
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-3281
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Country | US
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Telephone | 561-676-3488
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Fax | 561-279-2898
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1973
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 5131
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License Number State | FL
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