Individual
CYNTHIA D EIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
510 E MOELLER ST, PRESCOTT, AZ 86301-2612
(928) 925-9477
Mailing address
510 E MOELLER ST, PRESCOTT, AZ 86301-2612
(928) 925-8535
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17068
AZ
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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