Individual provider · Type 1 NPI
Candace Ann Boltuch-Fagan, LPC;LCADC
Professional Counselor · Fort Lee, NJ
NPI number
1760577266
Active
Practice location
2357 Lemoine Ave
Fort Lee, NJ 07024
Mailing address
177 Colonial Rd
Emerson, NJ 07630-1153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0551 (NJ) |
Professional Counselor: Definition to come...
3 other providers at this address
Other professional counselor providers in Fort Lee
- Leyla Amanda Mata, M.A., ED.M, L.P.C.Professional Counselor Fort Lee, NJ NPI 1366730970
- Igor Beregnoi, PhD, L.P.CProfessional Counselor Fort Lee, NJ NPI 1669518924
- Rose Marjorie Jones, LCSW-RProfessional Counselor Fort Lee, NJ NPI 1760059224
- Mizuho Kanazawa, LPC, LCATProfessional Counselor Fort Lee, NJ NPI 1780955831
- Timur Petrishin, PCProfessional Counselor Fort Lee, NJ NPI 1801521018
- Luddy SerulleProfessional Counselor Fort Lee, NJ NPI 1831954080
- Lourdes J. Melendez, LPCProfessional Counselor Fort Lee, NJ NPI 1851663868
About NPI 1760577266
Candace Ann Boltuch-Fagan, LPC;LCADC's National Provider Identifier is 1760577266, issued on Oct 3, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Lee, NJ. The record was last updated on Jul 8, 2007.