Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Candace Ann Boltuch-Fagan, LPC, LCADC

Individual provider Professional Counselor · NPI 1760577266

Candace Ann Boltuch-Fagan, LPC, LCADC is a Professional Counselor in Fort Lee, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2357 Lemoine Ave
Fort Lee, NJ 07024
Phone: (201) 585-9814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0551 (NJ)

Record details

NPI number1760577266
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , LCADC
Sole proprietorYes
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 8, 2007

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