Provider Demographics
NPI:1225529910
Name:CONRRADO, CYNTHIA (LPC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:CONRRADO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:AGUSTIN CONRRADO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5555 ERINDALE DR STE 160
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-6736
Mailing Address - Country:US
Mailing Address - Phone:719-432-7910
Mailing Address - Fax:
Practice Address - Street 1:5555 ERINDALE DR STE 160
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-6736
Practice Address - Country:US
Practice Address - Phone:719-432-7910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-29
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0016869101YM0800X, 101YP2500X
COLPCC.0016034101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health