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NPI Code Detail

MEDICARE: CANDICE L SIMONDS

MEDICARE: CANDICE L SIMONDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker81190CA

General Provider Information

NPI Number : 1841362175
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE L SIMONDS
Provider Business Mailing Address
First Line : 8910 CLAIREMONT MESA BLVD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1104
Country : US
Telephone Number : 858-514-5144
Fax Number :
Provider Business Practice Location Address
First Line : 8910 CLAIREMONT MESA BLVD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1104
Country : US
Telephone Number : 858-514-5144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 03/16/2021

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Directions to “ CANDICE L SIMONDS ” Practice Location

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