Individual
MRS. CYNTHIA LEA MINTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 HEMLOCK AVE, COLONIAL HEIGHTS, VA 23834-1328
(804) 931-1182
Mailing address
14525 WOODLEIGH DR, CHESTER, VA 23831-6587
(804) 748-6401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005982
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160
—
VA
Enumeration date
06/01/2011
Last updated
08/03/2020
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