Organization
CYNTHIA J CLINTON, LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA J CLINTON LPC (OWNER)
(214) 316-0522
Entity
Organization
Contact information
Practice address
4000 PIONEER RD, STE. 105, BALCH SPRINGS, TX 75180-5006
(214) 316-0522
(972) 286-6111
Mailing address
3824 WOOD OAK DR, BALCH SPRINGS, TX 75180-2630
(214) 316-0522
(972) 286-6111
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
19656
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3238057
—
TX
Enumeration date
04/01/2014
Last updated
04/01/2014
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