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1477481687 NPI number — JACQUELINE IRENE CANDIA LPC

NPI Number: 1477481687
Health Care Provider/Practitioner: JACQUELINE IRENE CANDIA LPC

Information about “1477481687” NPI (JACQUELINE IRENE CANDIA LPC) exists in 1477481687 in HTML format HTML  |  1477481687 in plain Text format TXT  |  1477481687 in PDF (Portable Document Format) PDF  |  1477481687 in an XML format XML  formats.

NPI Number : 1477481687 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477481687",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CANDIA",
    "FirstName": "JACQUELINE",
    "MiddleName": "IRENE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "49 WESTWIND WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WESTAMPTON",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08060-5635",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "609-556-8226",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "49 WESTWIND WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WESTAMPTON",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08060-5635",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "609-556-8226",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/11/2026",
    "LastUpdateDate": "05/11/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "37PC01258800",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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