Doctor Name: | CYNTHIA C CRIDER |
NPI Number: | 1245592542 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC #1118 |
Business Practice Address: | 145 N 1st East St Green River, WY - 829354217 |
Business Phone Number: | 3072970079 |
Business Fax Number: | |
Mailing Address: | Po Box 907, GREEN RIVER |
State: | WY |
Postal Code: | 829350907 |
Phone Number: | 3072970079 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2012 |
NPI Last Update Date: | 06/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPC #1118 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |