Organization
CANDOR COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDIE J. SIEMANN LMHC (MANAGING MEMBER)
(352) 284-3747
Entity
Organization
Contact information
Practice address
2830 NW 41ST ST, SUITE J, GAINESVILLE, FL 32606-6667
(352) 284-3747
Mailing address
2830 NW 41ST ST, SUITE J, GAINESVILLE, FL 32606-6667
(352) 284-3747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH 11836
FL
106H00000X
Marriage & Family Therapist
Primary
MT2804
FL
Other
Enumeration date
05/31/2013
Last updated
02/03/2014
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