Individual
MS. CYNTHIA ANN TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LPC
Contact information
Practice address
236 LE PHILLIP CT NE STE K, CONCORD, NC 28025-1917
(704) 782-1020
(704) 782-1184
Mailing address
4386 GREYGATE ST SW, CONCORD, NC 28027-8702
(704) 795-9784
(704) 782-1184
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7455
NC
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
91348
CO
Other
Enumeration date
07/10/2007
Last updated
11/27/2012
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