Individual
MS. CYNTHIA EDITH MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
525 PORTLAND AVE # MC963, MINNEAPOLIS, MN 55415-1533
(612) 596-1223
Mailing address
525 PORTLAND AVE # MC963, MINNEAPOLIS, MN 55415-1533
(612) 596-1223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC02163
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC02163
BHHT
MN
Enumeration date
08/14/2019
Last updated
11/10/2020
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