Individual
CYNTHIA FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADAC II, LPC,MHSP
Contact information
Practice address
3256 RIVER VALLEY LN, MEMPHIS, TN 38119-8091
(901) 406-8936
Mailing address
3256 RIVER VALLEY LN, MEMPHIS, TN 38119-8091
(901) 406-8936
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LADAC0000001109
TN
101YM0800X
Mental Health Counselor
LPC0000003844
TN
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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