Individual
CYNTHIA R ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
11919 W SPRAGUE AVE, AIRWAY HEIGHTS, WA 99001-5295
(509) 244-6700
Mailing address
11919 W SPRAGUE AVE, AIRWAY HEIGHTS, WA 99001-5295
(509) 244-6700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61362679
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077844
—
WA
Enumeration date
12/21/2022
Last updated
12/21/2022
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