NPI 1013352012
Candice Claire Ebbesen, MAEDSMFT
Practice location
- Address
- 104 Wayne St, Jersey City, NJ 07302-5573
- Phone
- (201) 780-0905
- Fax
- (973) 673-5782
- Mailing address
- 395 S Center St, Orange, NJ 07050-3205
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1013352012
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 May 2013
- Record last updated
- 7 Oct 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.