Provider Demographics
NPI:1235324351
Name:BADALAMENTE, CINDEE MARIE (GUIDANCE COUNSELOR)
Entity Type:Individual
Prefix:MS
First Name:CINDEE
Middle Name:MARIE
Last Name:BADALAMENTE
Suffix:
Gender:F
Credentials:GUIDANCE COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1931 E SAN MIGUEL AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-3027
Mailing Address - Country:US
Mailing Address - Phone:602-522-2336
Mailing Address - Fax:
Practice Address - Street 1:3839 W CAMELBACK RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85019-2512
Practice Address - Country:US
Practice Address - Phone:602-764-6056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ898520Medicaid