Provider Demographics
NPI:1568011500
Name:ANSALDI, CANDACE (LCMHC)
Entity type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:
Last Name:ANSALDI
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:CANDACE
Other - Middle Name:
Other - Last Name:VINELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 561
Mailing Address - Street 2:
Mailing Address - City:NORTH CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03860-0561
Mailing Address - Country:US
Mailing Address - Phone:603-986-1779
Mailing Address - Fax:
Practice Address - Street 1:522 NH RT16A
Practice Address - Street 2:SUITE B
Practice Address - City:INTERVALE
Practice Address - State:NH
Practice Address - Zip Code:03845-6328
Practice Address - Country:US
Practice Address - Phone:603-733-8302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2154101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health