National Provider Identifier
Candace H Larson
Candace H Larson is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Jamestown, NY and a listed phone number of (716) 661-1590.
Profile Overview
- NPI
- 1477748317
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- September 13, 2007
- Last Updated
- September 13, 2007
Practice Location
- 344 E 4Th St
- Jamestown, NY 14701-5502
Phone: (716) 661-1590
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1477748317
- Entity Type
- Individual
- Last Name
- Larson
- First Name
- Candace
- Middle Name
- H
- Mailing Street Address
- 344 E 4Th St
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-5502
- Mailing Country
- US
- Mailing Phone
- (716) 661-1590
- Practice Street Address
- 344 E 4Th St
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-5502
- Practice Country
- US
- Practice Phone
- (716) 661-1590
- Enumeration Date
- September 13, 2007
- Last Updated
- September 13, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)