Individual
CYNTINA JONAE BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
214 BUSH RIVER DR, FARMVILLE, VA 23901-3179
(434) 392-3187
(434) 392-9221
Mailing address
PO DRAWER 248, 214 BUSH RIVER DRIVE, FARMVILLE, VA 23901
(434) 392-3187
(434) 392-9221
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004977
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528091063
—
VA
Enumeration date
07/18/2011
Last updated
02/15/2023
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