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Contact Information

CANDICE MOORE, LPC, MA
123 E HWY 6
UNIT B
VALPARAISO, IN46383
 Phone: 773-269-7560
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for CANDICE MOORE · (Female)

NPI Number 1497444251
Status Active
Credentials LPC, MA
Entity Individual
Enumeration date 05/05/2023
Last updated 05/09/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 178.018752
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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