Individual
CANDICE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4110 BOWSER AVE, FORT WAYNE, IN 46806-4429
(260) 602-1964
Mailing address
4110 BOWSER AVE, FORT WAYNE, IN 46806-4429
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002839A
IN
Other
Enumeration date
09/03/2013
Last updated
10/09/2025
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