Provider Demographics
NPI:1801187406
Name:SOTO, KACEE A (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KACEE
Middle Name:A
Last Name:SOTO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:KACEE
Other - Middle Name:A
Other - Last Name:JUNCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2710 N MASON RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-4176
Mailing Address - Country:US
Mailing Address - Phone:281-552-8876
Mailing Address - Fax:
Practice Address - Street 1:2710 N MASON RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-4176
Practice Address - Country:US
Practice Address - Phone:281-552-8876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-29
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65490101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional