Candace Ann Bolton-Flynn in Potosi - Mental Health
Candace Ann Bolton-Flynn - NPI 1063519643
Candace Ann Bolton-Flynn is a Mental Health in Potosi, Wisconsin. Candace Ann Bolton-Flynn practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Candace Ann Bolton-Flynn is 1063519643. The last update date is 2007-07-08.
Candace Ann Bolton-Flynn's current location address is 4590 Marsha Ln, Potosi, Wisconsin. You can contact this provider via phone number 6087632973. The mailing address for Candace Ann Bolton-Flynn is 4590 Marsha Ln, Potosi, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candace Ann Bolton-Flynn |
|---|---|
| Address | 4590 Marsha Ln, Potosi, Wisconsin |
| Phone Number | 6087632973 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S. |
NPI Number Detail
| NPI Number | 1063519643 |
|---|---|
| Provider Enumeration Date | 2006-09-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4590 Marsha Ln |
|---|---|
| City | Potosi |
| State | Wisconsin (WI) |
| Post Code | 538209683 |
| Phone Number | 6087632973 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 1739-125 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39196200 | WI | -- |
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What is the unique 10-digit identifier code issued to Candace Ann Bolton-Flynn by the Centers for Medicare & Medicaid Services?
The Candace Ann Bolton-Flynn has been assigned the NPI (National Provider Identifier) 1063519643 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Candace Ann Bolton-Flynn?
The Candace Ann Bolton-Flynn is situated at 4590 Marsha Ln, in the city of Potosi, state of WI, with the zip code 538209683.
What is Candace Ann Bolton-Flynn's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Candace Ann Bolton-Flynn is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date did the Candace Ann Bolton-Flynn receive the assignment of its 1063519643 from the Centers for Medicare & Medicaid Services?
The Candace Ann Bolton-Flynn was issued its 1063519643 by the Centers for Medicare & Medicaid Services on 2006-09-17.
As of what date were the details pertaining to Candace Ann Bolton-Flynn last refreshed?
The information related to the Candace Ann Bolton-Flynn, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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