Individual
MRS. CYNDI GAYLE ANTONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
601 E WASHINGTON ST, ARMA, KS 66712-4001
(620) 347-4033
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00807
KS
1041C0700X
Clinical Social Worker
Primary
4735
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110931180
MEDICARE
KS
05
—
201095340C
—
KS
05
—
490073766
—
MO
Enumeration date
06/12/2014
Last updated
05/14/2024
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