Doctor Name: | MRS. CYNTHIA LEA CLOUGH |
NPI Number: | 1154499283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCC LMHC |
License Number: | 00774 |
Business Practice Address: | 405 East Main Street Anamosa, IA - 52205 |
Business Phone Number: | 3193630636 |
Business Fax Number: | |
Mailing Address: | 5400 Kirkwood Blvd Sw, Four Oaks CEDAR RAPIDS |
State: | IA |
Postal Code: | 52404 |
Phone Number: | 3193640259 |
Fax Number: | 8662905565 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 00774 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |