Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Cedric Antron Staton, LPCC

Individual provider Mental Health Counselor · NPI 1417616236

Mr. Cedric Antron Staton, LPCC is a Mental Health Counselor in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

2525 Camino Del Rio S Ste 313
San Diego, CA 92108-3784
Phone: (442) 322-8143
Fax: (619) 598-0594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 11040 (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1417616236
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorYes
NPI enumeratedDecember 8, 2021
Last updated in NPPESMarch 27, 2022
Certification dateMarch 27, 2022

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