Provider Demographics
NPI:1013419761
Name:HOLDEN, CYNTHIA M (LCPC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:M
Last Name:HOLDEN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 43154
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-0154
Mailing Address - Country:US
Mailing Address - Phone:301-531-5066
Mailing Address - Fax:
Practice Address - Street 1:15 ARLEN RD APT I
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-5148
Practice Address - Country:US
Practice Address - Phone:301-531-5066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-07
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC8429101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional