Provider Demographics
NPI:1306853171
Name:CADE, JOHN M (LCSW, LPC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:M
Last Name:CADE
Suffix:
Gender:M
Credentials:LCSW, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3950 WALNUT HILL LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-6256
Mailing Address - Country:US
Mailing Address - Phone:214-357-0371
Mailing Address - Fax:214-358-5697
Practice Address - Street 1:5327 N. CENTRAL EXPWY.
Practice Address - Street 2:#305
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-3381
Practice Address - Country:US
Practice Address - Phone:214-739-6974
Practice Address - Fax:214-358-5697
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1814101YM0800X
TX135921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
00S79BMedicare ID - Type Unspecified