Individual
MRS. CYNTHIA KINDGREN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
6973 REDANSA DR, ROCKFORD, IL 61108-1201
(815) 397-2224
(815) 397-2225
Mailing address
6973 REDANSA DR, ROCKFORD, IL 61108-1201
(815) 397-2224
(815) 397-2225
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10132032
BLUE CROSS BLUE SHIELD
IL
01
—
104268
HEALTH ALLIANCE
IL
Enumeration date
06/06/2006
Last updated
07/08/2007
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