Individual
CYNTHIA ELLEN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1840 UNION AVE, NORTH BEND, OR 97459-3422
(541) 756-2057
(541) 751-7905
Mailing address
1840 UNION, NORTH BEND, OR 97459
(541) 756-2057
(541) 751-7905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010188
—
CA
Enumeration date
03/08/2007
Last updated
09/11/2009
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