Provider Information for 1881376820
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CYNTHIA HIMSTEDT LPC-S, CSC, M. Ed.
Sex: Female
NPI: 1881376820
Last Updated: 2023-08-01
Certification Date: 2023-07-27
Certification Date: 2023-07-27
Details
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NPI | 1881376820 | ||||||||
Enumeration Date | 2023-08-01 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 2625 BRIARCREST DR BURLESON, TX 76028-6379 United States Phone: 210-445-0592 | Fax: | ||||||||
Primary Practice Address | 2625 BRIARCREST DR BURLESON, TX 76028-6379 United States Phone: 210-445-0592 | Fax: | ||||||||
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