Provider Demographics
NPI:1174640882
Name:SALMOIRAGHI, CINDY (CAC, CCS)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:
Last Name:SALMOIRAGHI
Suffix:
Gender:F
Credentials:CAC, CCS
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:SALMOIRAGHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CAC, CCS
Mailing Address - Street 1:46 ALBION ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06605-2602
Mailing Address - Country:US
Mailing Address - Phone:203-332-3524
Mailing Address - Fax:203-382-1436
Practice Address - Street 1:46 ALBION ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06605-2602
Practice Address - Country:US
Practice Address - Phone:203-332-3524
Practice Address - Fax:203-382-1436
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000146101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)