Individual
MS. CYNTHIA ANN CHUPIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1114 N FULTON ST, WHARTON, TX 77488-3128
(979) 282-8100
(979) 282-8103
Mailing address
PO BOX 58, BEASLEY, TX 77417-0058
(713) 206-3325
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9884
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9884
LCDC
TX
Enumeration date
10/22/2012
Last updated
10/24/2012
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