Individual
CYNTHIA ANN MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPC
Contact information
Practice address
400 W MAIN ST, SUITE 104, ROUND ROCK, TX 78664-5808
(512) 850-7403
Mailing address
400 W MAIN ST, SUITE 104, ROUND ROCK, TX 78664-5808
(512) 850-7403
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
64380
TX
101YM0800X
Mental Health Counselor
Primary
64380
TX
101YP2500X
Professional Counselor
64380
TX
106H00000X
Marriage & Family Therapist
64380
TX
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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