Individual
MRS. CYNTHIA LORRAINE PARENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1339 N. 435 RD., LOCUST GROVE, OK 74352-0354
(956) 336-5373
Mailing address
PO BOX 354, LOCUST GROVE, OK 74352-0354
(956) 336-5373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
000
OK
251S00000X
Community/Behavioral Health Agency
Primary
251SOOOOOX
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
PRSS
OK
Enumeration date
04/25/2011
Last updated
01/20/2016
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