Provider Demographics
NPI:1326172792
Name:GILMORE, CINDY LEIGH (MS)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:LEIGH
Last Name:GILMORE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2427
Mailing Address - Street 2:
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-1948
Mailing Address - Country:US
Mailing Address - Phone:530-265-6315
Mailing Address - Fax:
Practice Address - Street 1:501 MILL ST
Practice Address - Street 2:
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-2419
Practice Address - Country:US
Practice Address - Phone:530-265-6774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health