Individual
CYNTHIA BERGSTROM DEVLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.C., L.M.F.T.
Contact information
Practice address
1229 S SAINT FRANCIS DR STE B, SANTA FE, NM 87505-4052
(505) 303-3586
(505) 303-3586
Mailing address
6 BUENA VENTURA PL, SANTA FE, NM 87508-8377
(505) 303-3586
(505) 303-3586
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0189951
NM
101YP2500X
Professional Counselor
Primary
0189951
NM
106H00000X
Marriage & Family Therapist
0189901
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223065
ANTHEM BC/BS
VA
Enumeration date
08/05/2006
Last updated
07/21/2022
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