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Individual

MS. CANDICE RAE HOGDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LCPC, LCSW

Contact information

Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
180-004984
IL
101YM0800X
Mental Health Counselor
180-004984
IL
101YP2500X
Professional Counselor
180-004984
IL
1041C0700X
Clinical Social Worker
Primary
2243-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07232101
BCBS
IL
01
103-515
HEALTH ALLIANCE
IL
01
236610
VALUE OPTIONS
IL
01
357929
MHN
IL
05
39281200
WI
01
469922
HEALTHLINK
IL
01
7230084
AETNA
IL
Enumeration date
05/02/2007
Last updated
03/17/2022
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