Cynthia Lea Clough, NCC LMHC
Individual provider Active NPI Counselor · Anamosa, IA
NPI 1154499283 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154499283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 00774 (IA)
- Practice address
- 405 East Main Street
Anamosa, IA 52205 - Phone
- (319) 363-0636
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00774 | IA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Oaks Family and Children'S Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00774 | IA | Yes |
Addresses
Primary practice location
405 East Main Street
Anamosa, IA 52205
Mailing address
5400 Kirkwood Blvd SW
Four Oaks
Cedar Rapids, IA 52404
Phone (319) 364-0259
Other providers in Anamosa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.