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Individual

JANENE CANDALOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CMHC

Contact information

Practice address
750 NORTH 200 WEST, PROVO, UT 84601
(801) 373-4760
(801) 373-0639
Mailing address
750 NORTH 200 WEST, PROVO, UT 84601
(801) 373-4760
(801) 373-0639

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
49139766004
UT
101YM0800X
Mental Health Counselor
Primary
UT
101YP2500X
Professional Counselor
49139766004
UT

Other

Enumeration date
09/07/2006
Last updated
05/08/2023
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