| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CANDICE GABRIELLE KORDICH | 1629661368 | 2021-02-13 |
Candice Gabrielle Kordich is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1629661368. Registration indicates Candice Gabrielle Kordich is a provider of services with a specialization in Other Service Providers, Case Manager/Care Coordinator (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Candice Gabrielle Kordich |
| Practice Office Address | 801 E WASHINGTON ST STE 150 MEDINA, OH US |
| Practice Office Telephone | 3307221069 |
| Mailing Address | 801 E WASHINGTON ST STE 150 MEDINA, OH 442563336 US |
| Business Telephone | 3307221069 |
| Code | Practice | License No State |
|---|---|---|
| 171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers |
OH |