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General NPI Number Information
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NPI Number | 1710486444
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Entity Type | Individual
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Provider Name | KRISTEN CANDON LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/08/2018
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Last Update Date | 12/31/2020
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Provider Practice Location Address
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Address Line | 60 BAY SPRING AVE UNIT B2
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City | BARRINGTON
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State | RI
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Zip | 02806-1386
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Country | US
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Telephone | 617-866-0589
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Fax | 508-433-1871
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Provider Business Mailing Address
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Address Line | 60 BAY SPRING AVE UNIT B2
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City | BARRINGTON
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State | RI
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Zip | 02806-1386
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC00925
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License Number State | RI
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