Individual
CINDY CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24110 BROKEN BOW LN, HOCKLEY, TX 77447-7846
(631) 660-5094
Mailing address
24110 BROKEN BOW LN, HOCKLEY, TX 77447-7846
(631) 660-5094
(631) 723-3365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
32778
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32778
OASAS CERTIFICATE
NY
Enumeration date
04/26/2017
Last updated
10/26/2023
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