Provider Demographics
NPI:1992095046
Name:ALIZIO, CANDICE WOODS (MA, LMFT)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:WOODS
Last Name:ALIZIO
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 ELM ST STE 102
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-2919
Mailing Address - Country:US
Mailing Address - Phone:603-865-1769
Mailing Address - Fax:603-628-7757
Practice Address - Street 1:1750 ELM ST STE 102
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-2919
Practice Address - Country:US
Practice Address - Phone:603-865-1769
Practice Address - Fax:603-628-7757
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0187106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist