Provider Demographics
NPI:1184033730
Name:STAUFFER, CYNTHIA LEARN (NCC, LCPC)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:LEARN
Last Name:STAUFFER
Suffix:
Gender:F
Credentials:NCC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8120 WOODMONT AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2743
Mailing Address - Country:US
Mailing Address - Phone:240-305-7620
Mailing Address - Fax:
Practice Address - Street 1:8120 WOODMONT AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2743
Practice Address - Country:US
Practice Address - Phone:240-305-7620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-07
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC6506101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional