Cedric D Allen
Counselor, Mental Health in Mansfield, TX. Individual provider (NPI-1).
NPI number1659077154
StatusActive
Last updated in NPPESOct 23, 2024
Details
- NPI
- 1659077154
- Entity type
- Individual (NPI-1)
- Name
- Cedric D Allen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2023
- Certification date
- Oct 23, 2024
- Last updated
- Oct 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 90465 | TX | Yes |
| 101YP2500X | Counselor, Professional | 90465 | TX |
Practice location
1285 N Main St Ste 101-5Mansfield, TX 76063-1511
Phone 682-651-7621 · Fax 817-887-3409
Mailing address
1400 N State Highway 360 Apt 1715Mansfield, TX 76063-3536
Other practice locations
1400 N State Highway 360 Apt 1715
Mansfield, TX 76063-3536
Mansfield, TX 76063-3536
Phone 817-696-1524
2651 Sagebrush Dr Ste 104
Flower Mound, TX 75028-2727
Flower Mound, TX 75028-2727
Phone 612-756-9107
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