Individual
CANDACE KIEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 5TH AVE RM 903, NEW YORK, NY 10011-7611
(844) 866-8336
Mailing address
908 SOUTH AVE, HORSEHEADS, NY 14845-2635
(076) 425-9561
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011708
NY
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/05/2021
Last updated
12/03/2024
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