Cindy Cisneros

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Hockley, TX

NPI 1477088508 · NPPES record last updated Oct 26, 2023

Key facts

NPI
1477088508
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
32778 (NY)
Practice address
24110 Broken Bow LN
Hockley, TX 77447-7846
Phone
(631) 660-5094
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
32778NYMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 32778 NY Yes

Addresses

Primary practice location

24110 Broken Bow LN
Hockley, TX 77447-7846

Mailing address

24110 Broken Bow LN
Hockley, TX 77447-7846
Phone (631) 660-5094

Other identifiers

IdentifierTypeStateIssuer
32778OtherNYOASAS CERTIFICATE

Other providers in Hockley, TX

All providers in Hockley, TX · Addiction (Substance Use Disorder) Counselor in Texas

Sources for this page

Verify at the official NPI Registry.