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General NPI Number Information
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NPI Number | 1912677634
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Entity Type | Individual
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Provider Name | CANDICE A MCVAY MSW, LSWAIC
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Gender | Female
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 511 28TH AVE E
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City | SEATTLE
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State | WA
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Zip | 98112-4161
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Country | US
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Telephone | 801-655-5450
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Fax | 385-225-9327
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Provider Business Mailing Address
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Address Line | 1433 N 1200 W
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City | OREM
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State | UT
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Zip | 84057-2449
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Country | US
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Telephone | 801-655-5450
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Fax | 385-225-9327
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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 | 101YM0800X
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License Number State | WA
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