Doctor Name: | CYNTHIA GRACE LUMA |
NPI Number: | 1336268804 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED, LCPC, LMHC, LMF |
License Number: | CC2458 |
Business Practice Address: | 40 Dion Ave Kittery, ME - 039041119 |
Business Phone Number: | 2074396600 |
Business Fax Number: | |
Mailing Address: | 40 Dion Ave, KITTERY |
State: | ME |
Postal Code: | 039041119 |
Phone Number: | 2074396600 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 03/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | CC2458 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |