| Doctor Name: | CYNTHIA MACDONALD |
| NPI Number: | 1083828073 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., L.P.C., C.A.C. |
| License Number: | 2429 |
| Business Practice Address: | 655 E Valley Rd Suite# 200a Basalt, CO - 816218317 |
| Business Phone Number: | 9709635661 |
| Business Fax Number: | 9709635841 |
| Mailing Address: | 655 E Valley Rd, Suite# 200a BASALT |
| State: | CO |
| Postal Code: | 816218317 |
| Phone Number: | 9709635661 |
| Fax Number: | 9709635841 |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2429 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |