Provider Demographics
NPI:1235158999
Name:MCCREA, CINDY JANE (LMFT)
Entity Type:Individual
Prefix:MISS
First Name:CINDY
Middle Name:JANE
Last Name:MCCREA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4340 65TH ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95820-3322
Mailing Address - Country:US
Mailing Address - Phone:916-736-2731
Mailing Address - Fax:916-736-2731
Practice Address - Street 1:4340 65TH ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820-3322
Practice Address - Country:US
Practice Address - Phone:916-736-2731
Practice Address - Fax:916-736-2731
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 21657101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health