Individual
CYNTHIA TREMBLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA L, QMRP
Contact information
Practice address
408 E VINE ST, VIENNA, IL 62995-1612
(618) 658-2611
(618) 658-2501
Mailing address
5203 OGILVIE AVE, PADUCAH, KY 42001-6764
(270) 534-0978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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