Doctor Name: | MS. CYNTHIA LOUISE VAN NOSTRAND |
NPI Number: | 1508134081 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1735 Enterprise Dr Fairfield, CA - 945336822 |
Business Phone Number: | 7074251799 |
Business Fax Number: | |
Mailing Address: | 1920 Grande Cir Unit 91, FAIRFIELD |
State: | CA |
Postal Code: | 945334238 |
Phone Number: | 7077208760 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2011 |
NPI Last Update Date: | 12/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |