Provider Demographics
NPI:1659503621
Name:RAY, CANDACE MICHELLE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:MICHELLE
Last Name:RAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8370 US HWY 82
Mailing Address - Street 2:SUITE A
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-5445
Mailing Address - Country:US
Mailing Address - Phone:972-679-9197
Mailing Address - Fax:
Practice Address - Street 1:8370 US HWY 82
Practice Address - Street 2:SUITE A
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-5445
Practice Address - Country:US
Practice Address - Phone:972-679-9197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-10
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63313101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor