Individual
CARLA FALCON CHEATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7527 E COUNTY ROAD 7220, SLATON, TX 79364-7525
(210) 777-1679
Mailing address
7527 E COUNTY ROAD 7220, SLATON, TX 79364-7525
(210) 777-1679
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
64209
TX
101YP2500X
Professional Counselor
Primary
64209
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2160822 02
—
TX
Enumeration date
01/29/2010
Last updated
03/20/2024
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