Hogden, Candice Rae

Hogden, Candice Rae is an individual health care provider with primary practice located at 1836 South Ave , La Crosse WI 54601-5429. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hogden, Candice Rae can be contacted via phone (608) 782-7300.

Contact Information

Primary practice address
1836 South Ave La Crosse WI 54601-5429
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 180-004984 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180-004984 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-004984 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2243-123 Wisconsin

Profile Details

NPI number 1780806539
LBN Legal business name Hogden, Candice Rae
Credentials MS, LCPC, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Mar 17th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780806539 NPPES
Illinois Other 7230084 AETNA
Illinois Other 236610 AETNA
Illinois Other 357929 AETNA
Illinois MEDICAID 39281200 AETNA
Illinois Other 07232101 AETNA
Illinois Other 103-515 AETNA
Illinois Other 469922 AETNA

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