Individual
ALICE CACEDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1935 MEDICAL DISTRICT DR # CL.05, DALLAS, TX 75235-7701
(415) 968-9378
Mailing address
1935 MEDICAL DISTRICT DR # CL.05, DALLAS, TX 75235-7701
(415) 968-9378
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
94696
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362235165
—
IL
Enumeration date
08/02/2016
Last updated
07/17/2024
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