| Elise Mccandless, Llc | |
|
444 Villa Ave Fairfield CT 06825-1945 | |
| (203) 244-7637 | |
| Not Available |
| Full Name | Elise Mccandless, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 444 Villa Ave, Fairfield, Connecticut |
| Authorized Official Name and Position | Elizabeth Ann Mccandless (MENTAL HEALTH CLINICIAN) |
| Authorized Official Contact | 2032447637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elise Mccandless, Llc 444 Villa Ave Fairfield CT 06825-1945 Ph: (203) 244-7637 | Elise Mccandless, Llc 444 Villa Ave Fairfield CT 06825-1945 Ph: (203) 244-7637 |
| NPI Number | 1831982784 |
|---|---|
| Provider Enumeration Date | 05/23/2025 |
| Last Update Date | 05/23/2025 |
| Certification Date | 05/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831982784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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