Doctor Name: | CYNTHIA CECILIA CORRAL |
NPI Number: | 1497057335 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 50100 |
Business Practice Address: | 1313 Red River St Ste. 320 Austin, TX - 787011943 |
Business Phone Number: | 5129788870 |
Business Fax Number: | 5122797367 |
Mailing Address: | 15 Waller St, AUSTIN |
State: | TX |
Postal Code: | 787025240 |
Phone Number: | 5129789000 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2010 |
NPI Last Update Date: | 11/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 50100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |