Provider Demographics
NPI:1225239486
Name:DREW, CYNTHIA DENISE (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:DENISE
Last Name:DREW
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4611 SERENITY TRL
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-9571
Mailing Address - Country:US
Mailing Address - Phone:832-858-7263
Mailing Address - Fax:
Practice Address - Street 1:4611 SERENITY TRL
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-9571
Practice Address - Country:US
Practice Address - Phone:832-858-7263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2991106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist