Doctor Name: | MRS. CYNTHIA MARIE OSUNA |
NPI Number: | 1013265727 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 5460 |
Business Practice Address: | 605 W Gore Blvd Suite 3 Lawton, OK - 735013727 |
Business Phone Number: | 5806990909 |
Business Fax Number: | |
Mailing Address: | 605 W Gore Blvd, Suite 3 LAWTON |
State: | OK |
Postal Code: | 735013727 |
Phone Number: | 5806990909 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2012 |
NPI Last Update Date: | 02/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5460 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |