Search › Arizona › 101YP2500X
Candice Waller, LPC-MHSP
NPI 1588138911 · on the registry since 2019 · sole proprietor
Practice
- Address
- 5055 E Broadway Blvd Ste C104
Tucson, AZ 85711 - Phone
- (520) 623-9833
- Fax
- (520) 923-9083
- Organisation at this address
- Agk Southwest, Inc.
Genoa Healthcare Llc
Lumicare Health Az1 Llc
Palo Verde Homecare, Llc
Hope Home Healthcare LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Additional practice sites
- 7670 N Star Grass Dr, Tucson, AZ
- 2856 Bridle Creek Dr Sw, Conyers, GA
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
- Licence states on file
- TN, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona