person
Candace Rose Vivas, MAC,LPCA
Professional Counselor in Wake Forest, North Carolina
NPI 1518654466

Candace Rose Vivas is a Professional Counselor based in Raleigh, NC and is specialized in Professional. Candace Rose Vivas practices in Wake Forest, NC and has the professional credentials of MAC,LPCA. The NPI Number for Candace Rose Vivas is 1518654466 and holds a License No. 8425 (North Carolina).

The current practice location address for Candace Rose Vivas is 12339 Wake Union Church Rd Ste 111, Wake Forest, NC and can be reached out via phone at 919-867-0360 and via fax at 877-920-1934.

Location: 12339 Wake Union Church Rd Ste 111, Wake Forest, NC, 27612-8707
person
Provider Profile Details
NPI Number
1518654466
Provider Name
Candace Rose Vivas
Credential
MAC,LPCA
Provider Entity Type
Individual
Gender
Female
Address
12339 Wake Union Church Rd Ste 111, Wake Forest, NC, 27612-8707
Phone Number
919-867-0360
Fax Number
877-920-1934
Provider Enumeration Date
04/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12339 Wake Union Church Rd Ste 111
City
State
Zip
27587-4512
Phone Number
919-867-0360
Fax Number
877-920-1934
person
Provider Business Mailing Address Details
Address
12339 Wake Union Church Rd Ste 111
City
State
Zip
27587-4512
Phone Number
919-867-0360
Fax Number
877-920-1934
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
8425 (South Carolina)
Definition
Definition to come...
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