Candice R Hogden is a Counselor in Peoria, Illinois. Candice R Hogden practices all healthcare services and medical treatments related to Counselor. The NPI Number for Candice R Hogden is 1770650442. The last update date is 2020-08-22.
Candice R Hogden's current location address is 5016 N University, Peoria, Illinois. You can contact this provider via phone number 3096921220 and fax number 3096921222. The mailing address for Candice R Hogden is 5016 N University, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Candice R Hogden |
|---|---|
| Address | 5016 N University, Peoria, Illinois |
| Phone Number | 3096921220 |
| Fax Number | 3096921222 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR C |
|---|---|
| Authorized Official Name | Hogden Rae Candice |
| Credentials | MS LCPC LC |
| Telephone Number | 3096921220 |
NPI Number Detail
| NPI Number | 1770650442 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5016 N University |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616144763 |
| Phone Number | 3096921220 |
| Fax Number | 3096921222 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103515 | IL | HEALTH ALLIANCE | |
| 236610 | IL | VALUE OPTIONS | |
| 357929 | IL | MHN | |
| 39281200 | WI | -- | |
| 469922 | IL | HEALTHLINK | |
| 7230084 | IL | AETNA | |
| 7232101 | IL | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Candice R Hogden?
The Candice R Hogden has been issued the NPI (National Provider Identifier) 1770650442 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Candice R Hogden located?
The Candice R Hogden is located at 5016 N University, Peoria, IL 616144763.
What is Candice R Hogden's specialized field of practice, and what is the corresponding taxonomy classification code?
The Candice R Hogden's area of specialization is Counselor, and the corresponding taxonomy code that categorizes this field of practice is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770650442 to Candice R Hogden?
The Candice R Hogden received its 1770650442 assignment from the Centers for Medicare & Medicaid Services on 2006-11-29.
As of what date were the details related to Candice R Hogden most recently updated or revised?
The information pertaining to Candice R Hogden, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.