Individual
CYNTHIA LUNGSTRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
16262 VIXEN RD, STARK CITY, MO 64866-7945
(417) 388-9872
(888) 310-7328
Mailing address
16262 VIXEN RD, STARK CITY, MO 64866-7945
(417) 623-7852
(888) 310-7328
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2003018404
MO
1041C0700X
Clinical Social Worker
Primary
2003018404
MO
1041C0700X
Clinical Social Worker
2424
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427129881
—
MO
Enumeration date
11/10/2006
Last updated
09/16/2016
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