Provider Demographics
NPI:1043405087
Name:HUGHES, CANDICE ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:CANDICE
Middle Name:ANN
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 INDIAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-3934
Mailing Address - Country:US
Mailing Address - Phone:847-291-4365
Mailing Address - Fax:847-920-9378
Practice Address - Street 1:707 SKOKIE BLVD
Practice Address - Street 2:SUITE 600
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2857
Practice Address - Country:US
Practice Address - Phone:847-291-4365
Practice Address - Fax:847-920-9378
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health