Individual
CYNTHIA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAC
Contact information
Practice address
443 HIGHWAY 105, PALMER LAKE, CO 80133-9003
(719) 955-1800
Mailing address
443 HIGHWAY 105, PALMER LAKE, CO 80133-9003
(719) 955-1800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0000925
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
472809995
ADVANCED RECOVERY SYSTEMS, LLC
CO
Enumeration date
12/27/2017
Last updated
12/27/2017
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