| Doctor Name: | MS. CYNTHIA D. HENNARD |
| NPI Number: | 1972660066 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | 000396 |
| Business Practice Address: | 36 Lower Main St. East Johnson, VT - 05656 |
| Business Phone Number: | 8026357900 |
| Business Fax Number: | 8026357997 |
| Mailing Address: | Po Box 439, JOHNSON |
| State: | VT |
| Postal Code: | 056560439 |
| Phone Number: | 8026357900 |
| Fax Number: | 8026357997 |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 000396 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |