Individual
CYNTHIA A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC,NCC,CCCJS
Contact information
Practice address
100 E EUCLID AVE, SUITE 143, DES MOINES, IA 50313-4511
(515) 284-5211
(515) 284-5211
Mailing address
100 E EUCLID AVE, SUITE 143, DES MOINES, IA 50313-4511
(515) 284-5211
(515) 284-5211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMHC 00092
IA
103TC0700X
Clinical Psychologist
00093
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1125179
—
IA
01
—
29-77-024
DEPT. OF HUMAN SERVICES
IA
Enumeration date
08/01/2006
Last updated
02/14/2008
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