Individual
MS. CYNTHIA PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
423 W 800 S, SUITE 200, SALT LAKE CITY, UT 84101-2213
(801) 524-8635
Mailing address
PO BOX 1287, SALT LAKE CITY, UT 84110-1287
(801) 524-8635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6255159-6009
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870303448
—
UT
Enumeration date
07/25/2006
Last updated
07/03/2014
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