Individual
CYNTHIA DENISE CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDUCATOR
Contact information
Practice address
3100 GENTIAN BLVD STE 8A, COLUMBUS, GA 31907-5639
(912) 616-7366
(470) 552-2767
Mailing address
3100 GENTIAN BLVD STE 8A, COLUMBUS, GA 31907-5639
(912) 616-7366
(470) 552-2767
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
869303
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003251476A
—
GA
Enumeration date
03/20/2022
Last updated
05/03/2022
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