Individual
CANDACE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5061 GREYLOCK CT, SANFORD, FL 32771-8376
(407) 761-0764
Mailing address
PO BOX 621286, OVIEDO, FL 32762-1286
(407) 761-0764
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH20532
FL
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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