Individual provider · Type 1 NPI

Candice Lange

Professional Counselor · Fairfield, CT

NPI number 1487203352 Active

Practice location

125 Penfield Rd
Fairfield, CT 06824-6611

Call (203) 255-5777 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X003821 (CT)

Professional Counselor: Definition to come...

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About NPI 1487203352

Candice Lange's National Provider Identifier is 1487203352, issued on Sep 4, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfield, CT. The record was last updated on Sep 4, 2019.