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General NPI Number Information
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NPI Number | 1841330859
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Entity Type | Individual
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Provider Name | MARY FITCH CANDELARIA PSY.D
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 03/29/2025
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Provider Practice Location Address
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Address Line | 16709 NE 41ST ST
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City | REDMOND
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State | WA
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Zip | 98052-5473
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Country | US
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Telephone | 425-702-3447
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Fax | 425-577-6528
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Provider Business Mailing Address
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Address Line | 127 E INTERCITY AVE STE A
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City | EVERETT
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State | WA
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Zip | 98208-2732
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Country | US
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Telephone | 425-347-7275
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Fax | 425-355-0626
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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 | 2200
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License Number State | WA
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