Individual
MS. CYNTHIA S MACK-ERNSDORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC,LMFT,CDP,HP
Contact information
Practice address
1827 218TH PL NE, SAMMAMISH, WA 98074-4112
(425) 788-1710
Mailing address
1827 218TH PL NE, SAMMAMISH, WA 98074-4112
(425) 788-1710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00006138
WA
101YM0800X
Mental Health Counselor
LH00009947
WA
106H00000X
Marriage & Family Therapist
Primary
LF00002676
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP00006138
CHEMICAL DEPENDENCY PROFESSIONAL
WA
01
—
HP10000966
CLINICAL HYPNOTHERAPY
WA
01
—
LF00002676
MARRIAGE AND FAMILY THERAPY
WA
01
—
LH00009947
MENTAL HEALTH
WA
Enumeration date
03/05/2010
Last updated
03/05/2010
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