Individual
CYNTHIA MARIE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IMF
Contact information
Practice address
104 WALNUT AVE, STE 208, SANTA CRUZ, CA 95060-3900
(831) 423-9444
(831) 423-1532
Mailing address
104 WALNUT AVE, STE 208, SANTA CRUZ, CA 95060-3900
(831) 423-9444
(831) 423-1532
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
IMF 92590
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IMF 92590
INTERN
CA
Enumeration date
06/02/2009
Last updated
06/02/2009
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