Individual
CYNTHIA JAMESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 COMMUNITY, CLINTON, MO 64735
(660) 890-8186
Mailing address
401 RAINBOW DR, UNIT 36, PINEVILLE, LA 71360-6979
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1373
LA
171M00000X
Case Manager/Care Coordinator
1373
LA
Other
Enumeration date
11/05/2015
Last updated
07/17/2018
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