Cedric Johnson, PHD is a
Counselor based in Clute, Texas. Cedric Johnson is licensed to practice in * (Not Available) (license number ) and his current practice location is
211 S Lazy Ln, Clute, Texas. He can be reached at his office (for appointments etc.) via phone at
(979) 265-3590.
NPI number for Cedric Johnson is 1457187825 and his current mailing address is 211 S Lazy Ln, Clute, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457187825.
Healthcare Provider's Profile
| Full Name | Cedric Johnson |
|---|
| Gender | Male |
|---|
| Speciality | Counselor |
|---|
| Location | 211 S Lazy Ln, Clute, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1457187825
- Provider Enumeration Date: 09/11/2024
- Last Update Date: 09/11/2024
Medical Identifiers
Medical identifiers for Cedric Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457187825 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cedric Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Cedric Johnson, PHD
211 S Lazy Ln,
Clute, TX 77531-4434
Ph: () - | Cedric Johnson, PHD
211 S Lazy Ln,
Clute, TX 77531-4434
Ph: (979) 265-3590 |
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