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Organization
CYNTHIA TANAKA COUNSELING AND CONSULTING SERVICES
Active
Organization
CYNTHIA TANAKA COUNSELING AND CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA TANAKA LPC (OWNER)
(719) 588-6578
Entity
Organization
Contact information
Practice address
615 RUSSELL AVE, WALSENBURG, CO 81089-2127
(719) 588-6578
Mailing address
PO BOX 313, ALAMOSA, CO 81101-0313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5724
CO
101YP2500X
Professional Counselor
5724
CO
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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