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CANDICE KYLEEN NATHANIEL
NPI 1932472172
Counselor - Mental Health in Fairbanks, AK

Active since February 20, 2012
110 2ND AVE, FAIRBANKS, AK 99701(907) 452-7946(907) 452-7942 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candice Kyleen Nathaniel NPPES

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

CANDICE KYLEEN NATHANIEL (NPI 1932472172) is an individual mental health provider in Fairbanks, Alaska and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1932472172
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCANDICE KYLEEN NATHANIEL
Location Address110 2ND AVEFairbanks, AK 99701-4809
Mailing Address1428 Gillam Way # 1Fairbanks, AK 99701-6073 · (907) 799-1024
Phone(907) 452-7946
Fax(907) 452-7942
Sole ProprietorYes
Enumeration DateFebruary 20, 2012
✔ NPI 1932472172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
110 2ND AVE, Fairbanks, AK 99701
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Other Identifiers 2

MedicaidMH0157AK
Medicare PINK0000WCHCPAK

Other Providers at the Same Location NPPES 11

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

MS. MISTY ROSE KEITH
Technician, Other
110 2ND AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-7946
LORI DIANE SEARS
Counselor (Mental Health)
110 2ND AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-7946
JOSEPHINE LYNN GOOSHAW
Counselor (Mental Health)
110 2ND AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-7946
MR. CLARENCE ALLAN PATE
Counselor (Mental Health)
110 2ND AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-7946
JACQUELINE ANNE STERN
Counselor (Mental Health)
110 2ND AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-7946
NADINE ROSE CAPTAIN
Counselor (Mental Health)
110 2ND AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-7946
JULIE CHRISTINE DAVIS
Specialist/Technologist, Other
110 2ND AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-7946
NICOLE BROOKE WALIGORSKI
Counselor (Mental Health)
110 2ND AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-7946

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 Candice Nathaniel's NPI number?

The NPI number for Candice Nathaniel is 1932472172. It was assigned to this individual provider in the NPPES registry on February 20, 2012.

Where is Candice Nathaniel located?

Candice Nathaniel practices at 110 2nd Ave, Fairbanks, AK 99701. The listed phone number is (907) 452-7946.

What is Candice Nathaniel's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Candice Nathaniel was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.