Individual provider · NPI-1

Kedha Alce

Counselor, Addiction (Substance Use Disorder) · Phoenix, AZ

NPI number1467110676

StatusActive

Last updated in NPPESDec 21, 2021

Details

NPI: 1467110676
Entity type: Individual (NPI-1)
Name: Kedha Alce
Sex: Female
Sole proprietor: Yes
Enumeration date: Dec 5, 2021
Certification date: Dec 21, 2021
Last updated: Dec 21, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–	Yes
101YM0800X	Counselor, Mental Health	–	–
102L00000X	Psychoanalyst	–	–
103K00000X	Behavior Analyst	–	–
103TA0400X	Psychologist, Addiction (Substance Use Disorder)	–	–
103TB0200X	Psychologist, Cognitive & Behavioral	–	–
103TC1900X	Psychologist, Counseling	–	–
103TC2200X	Psychologist, Clinical Child & Adolescent	–	–
103TP0016X	Psychologist, Prescribing (Medical)	–	–
103TP0814X	Psychologist, Psychoanalysis	–	–
103TP2701X	Psychologist, Group Psychotherapy	–	–
104100000X	Social Worker	–	–
171M00000X	Case Manager/Care Coordinator	–	–
172A00000X	Driver	–	–
251B00000X	Case Management	–	–

Practice location

8330 N 19th Ave Apt 3083
Phoenix, AZ 85021-5281

Phone 602-706-0328

Mailing address

8330 N 19th Ave Apt 3083
Phoenix, AZ 85021-5281

Phone 602-706-0328

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