Individual
MS. CYNTHIA MARIE CUPPERNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
218 STONE ST, WATERTOWN, NY 13601-3211
(315) 782-7445
(315) 779-1184
Mailing address
218 STONE ST., WATERTOWN, NY 13601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003163-1
NY
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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