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Individual

MS. CYNDI J LOZANO GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12812 101ST AVENUE CT E STE 202, PUYALLUP, WA 98373-9103
(253) 864-4770
(253) 864-4771
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61337178
WA
101Y00000X
Counselor
MC61522667
WA
101YM0800X
Mental Health Counselor
Primary
MC61522667
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2282097
WA
Enumeration date
12/13/2022
Last updated
05/29/2025
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