# CANDOR COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033556063
- **Authorized official:** EDIE J. SIEMANN LMHC (MANAGING MEMBER)
- **Authorized official phone:** (352) 284-3747

## Contact information

- **Practice address:** 2830 NW 41ST ST, SUITE J, GAINESVILLE, FL 32606-6667
- **Practice address phone:** (352) 284-3747
- **Mailing address:** 2830 NW 41ST ST, SUITE J, GAINESVILLE, FL 32606-6667
- **Mailing address phone:** (352) 284-3747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | MH 11836 | FL | — |
| 106H00000X | Marriage & Family Therapist | MT2804 | FL | Yes |

## Other

- **Enumeration date:** 05/31/2013
- **Last updated:** 02/03/2014