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CANDACE ANN BOLTUCH-FAGAN LPC;LCADC
NPI 1760577266
Counselor - Professional in Fort Lee, NJ

Active since October 03, 2006
2357 LEMOINE AVE, FORT LEE, NJ 07024(201) 585-9814 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Candace Ann Boltuch-fagan Lpc;lcadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDACE ANN BOLTUCH-FAGAN LPC;LCADC (NPI 1760577266) is an individual professional provider in Fort Lee, New Jersey, licensed in New Jersey (0551) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1760577266
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCANDACE ANN BOLTUCH-FAGANCredential: LPC;LCADC
Location Address2357 LEMOINE AVEFort Lee, NJ 07024
Mailing Address177 Colonial RdEmerson, NJ 07630-1153 · (201) 986-7478
Phone(201) 585-9814
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1760577266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 0551
2357 LEMOINE AVE, Fort Lee, NJ 07024
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AXIOMWELLNESS LLC
Chiropractor
2357 LEMOINE AVE
FORT LEE, NJ 07024
Bergen County (201) 944-4552
AXIOMWELLNESS LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
2357 LEMOINE AVE
FORT LEE, NJ 07024
Bergen County (201) 944-4552
DR. JOHN KIM D.C.
Chiropractor
2357 LEMOINE AVE
FORT LEE, NJ 07024
Bergen County (201) 944-4552

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candace Boltuch-fagan's NPI number?

The NPI number for Candace Boltuch-fagan is 1760577266. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Candace Boltuch-fagan located?

Candace Boltuch-fagan practices at 2357 Lemoine Ave, Fort Lee, NJ 07024. The listed phone number is (201) 585-9814.

What is Candace Boltuch-fagan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Candace Boltuch-fagan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.