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Search › New Jersey › 101YP2500X

Candace Boltuch-Fagan, LPC;LCADC

NPI 1760577266 · on the registry since 2006 · sole proprietor

Practice

Address
2357 Lemoine Ave
Fort Lee, NJ 07024
Phone
(201) 585-9814
Organisation at this address
Axiomwellness Llc
Axiomwellness Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey