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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