Cynthia K. Duewall
Individual provider Active NPI Professional Counselor · Vidalia, LA
NPI 1801265012 · NPPES record last updated Mar 31, 2020
Key facts
- NPI
- 1801265012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 70638 (TX)
- Practice address
- 1109 Carter St
Vidalia, LA 71373-3227 - Phone
- (318) 336-4700
- NPI assigned
- Sep 17, 2015
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 70638 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | 70638 | TX | Yes |
Addresses
Primary practice location
1109 Carter St
Vidalia, LA 71373-3227
Mailing address
768 Highway 875
Wisner, LA 71378-4830
Phone (281) 814-4461
Other providers in Vidalia, LA
- Sarah L Dennis
- Amy Hart Depta
- Iley Floyd Dillon
- Sharon Renee Driskell
- Kaniya Dudley
- Darla Dunbar
- Kiersten Duncan
- Easy Living Behavioral Health
- John H Fairbanks
- Steven Lee Falkenheiner
All providers in Vidalia, LA · Professional Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2020. 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.