Individual
CYNTHIA DIANE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S, M.ED
Contact information
Practice address
11664 NE AVERY ST, NEWPORT, OR 97365-9545
(541) 961-7556
Mailing address
11664 NE AVERY ST, NEWPORT, OR 97365-9545
(541) 961-7556
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10409234
OR
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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