| Doctor Name: | MS. CYNTHIA ANN CHUPIK |
| NPI Number: | 1083967475 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCDC |
| License Number: | 9884 |
| Business Practice Address: | 1114 N Fulton St Wharton, TX - 774883128 |
| Business Phone Number: | 9792828100 |
| Business Fax Number: | 9792828103 |
| Mailing Address: | Po Box 58, BEASLEY |
| State: | TX |
| Postal Code: | 774170058 |
| Phone Number: | 7132063325 |
| Fax Number: | |
| NPI Enumeration Date: | 10/22/2012 |
| NPI Last Update Date: | 10/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 9884 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |