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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

Details

NameValue
NPI1881376820
Enumeration Date2023-08-01
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
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:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalTX60846