Individual provider · Type 1 NPI

Cedric Antron Staton, LPCC

Mental Health Counselor · San Diego, CA

NPI number 1417616236 Active

Practice location

2525 Camino Del Rio S Ste 313
San Diego, CA 92108-3784

Call (442) 322-8143 Map

Fax (619) 598-0594

Mailing address

2772 Piantino Cir
San Diego, CA 92108-4736

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X11040 (CA)
Mental Health Counselor 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1417616236

Cedric Antron Staton, LPCC's National Provider Identifier is 1417616236, issued on Dec 8, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Mar 27, 2022.