Provider Demographics
NPI:1033445556
Name:ENGELKES, CYNTHIA DIANE (MA, LAMFT)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:DIANE
Last Name:ENGELKES
Suffix:
Gender:F
Credentials:MA, LAMFT
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:ENGELKES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7810 VICTORIA CIR
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55426-3007
Mailing Address - Country:US
Mailing Address - Phone:612-237-6415
Mailing Address - Fax:
Practice Address - Street 1:10505 WAYZATA BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-1502
Practice Address - Country:US
Practice Address - Phone:612-237-6415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-19
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1920106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist