Provider Demographics
NPI:1184199069
Name:VASILIE, CINDY LOU (MS, CDCI, AMC-S)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:LOU
Last Name:VASILIE
Suffix:
Gender:F
Credentials:MS, CDCI, AMC-S
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:LOU
Other - Last Name:EPPERSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:43335 K BEACH RD STE 36
Mailing Address - Street 2:
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-8280
Mailing Address - Country:US
Mailing Address - Phone:907-714-6654
Mailing Address - Fax:907-262-6294
Practice Address - Street 1:43335 K BEACH RD STE 36
Practice Address - Street 2:
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669-8280
Practice Address - Country:US
Practice Address - Phone:907-714-6654
Practice Address - Fax:907-262-6294
Is Sole Proprietor?:No
Enumeration Date:2018-10-08
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)