Individual
CYNTHIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 S 42ND ST STE 328, OMAHA, NE 68105-2943
(402) 453-0320
Mailing address
1941 S 42ND ST STE 328, OMAHA, NE 68105-2943
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10945
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025317600
—
NE
01
—
1154371748
CAPSTONE BEHAVIORAL HEALTH
NE
05
—
14-1940881
—
NE
Enumeration date
06/19/2017
Last updated
06/19/2017
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