Individual
CANDACE ROSE VIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC, LPC, CCTP
Contact information
Practice address
110 CAPCOM AVE STE 202, WAKE FOREST, NC 27587-6531
(919) 867-0360
(877) 920-1934
Mailing address
5510 GLENCREE CT, RALEIGH, NC 27612-8707
(919) 861-7435
(877) 920-1934
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10868
SC
101YP2500X
Professional Counselor
Primary
10868
SC
Other
Enumeration date
04/20/2023
Last updated
05/23/2025
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