Provider Demographics
NPI:1013194893
Name:WINGET, CYNTHIA L (LPC)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:L
Last Name:WINGET
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 REID ST
Mailing Address - Street 2:PO BOX 52
Mailing Address - City:LINGLE
Mailing Address - State:WY
Mailing Address - Zip Code:82223
Mailing Address - Country:US
Mailing Address - Phone:307-575-5788
Mailing Address - Fax:307-837-2008
Practice Address - Street 1:208 MAIN ST
Practice Address - Street 2:
Practice Address - City:LINGLE
Practice Address - State:WY
Practice Address - Zip Code:82223
Practice Address - Country:US
Practice Address - Phone:307-575-5788
Practice Address - Fax:307-837-2018
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-24
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1023101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional