Individual
MS. CYNTHIA L. BEANBLOSSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
42909 N RALEIGH CT, ANTHEM, AZ 85086-8007
(489) 650-9260
(623) 551-3453
Mailing address
42909 N RALEIGH CT, ANTHEM, AZ 85086-8007
(489) 650-9260
(623) 551-3453
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC #10423
AZ
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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