Provider Demographics
NPI:1184879207
Name:ESSLINGER, CANDACE (MA)
Entity type:Individual
Prefix:
First Name:CANDACE
Middle Name:
Last Name:ESSLINGER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CABOT RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-5177
Mailing Address - Country:US
Mailing Address - Phone:781-393-5153
Mailing Address - Fax:781-393-5168
Practice Address - Street 1:38 JOSEPHINE AVE
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-2313
Practice Address - Country:US
Practice Address - Phone:719-691-1678
Practice Address - Fax:719-691-1678
Is Sole Proprietor?:No
Enumeration Date:2008-11-18
Last Update Date:2011-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor