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General NPI Number Information
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NPI Number | 1457766222
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Entity Type | Individual
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Provider Name | CANDIS MITCHELL PSY.D
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Gender | Female
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 4530 S DECATUR BLVD STE 201B
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City | LAS VEGAS
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State | NV
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Zip | 89103-5239
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Country | US
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Telephone | 702-530-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 245 E CENTENNIAL PKWY APT 2071
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89084-1370
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Country | US
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Telephone | 702-771-8767
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PA026
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License Number State | NV
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