Individual provider · Type 1 NPI
Candice Hall
Mental Health Counselor · Fort Wayne, IN
NPI number
1497189906
Active · reactivated Apr 27, 2016
Practice location
4110 Bowser Ave
Fort Wayne, IN 46806-4429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 39002839A (IN) |
Mental Health Counselor: Definition to come...
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About NPI 1497189906
Candice Hall's National Provider Identifier is 1497189906, issued on Sep 3, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 9, 2025.