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Individual
MR. CEDRIC ANTRON STATON
Active
Individual
MR. CEDRIC ANTRON STATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11040
CA
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPCC11040
CALIFORNIA BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
12/08/2021
Last updated
03/27/2022
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