Individual
MISS CYNTHIA TAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
415 W 11TH ST, VANCOUVER, WA 98660-3147
(360) 699-2244
Mailing address
415 W 11TH ST, VANCOUVER, WA 98660-3147
(360) 699-2244
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CG60380699
WA
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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