Provider Demographics
NPI:1790028447
Name:CEDENO, X'CEL M (LPC, LMHC)
Entity Type:Individual
Prefix:
First Name:X'CEL
Middle Name:M
Last Name:CEDENO
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:X'CEL
Other - Middle Name:M
Other - Last Name:PIZARRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LADC
Mailing Address - Street 1:3091 COBB PKWY NW APT 1822
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-5892
Mailing Address - Country:US
Mailing Address - Phone:508-826-1232
Mailing Address - Fax:
Practice Address - Street 1:3091 COBB PKWY NW APT 1822
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152-5892
Practice Address - Country:US
Practice Address - Phone:508-826-1232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10482101YA0400X
MA9867101YM0800X
GALPC010115101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)