Provider Demographics
NPI:1356463012
Name:FLOWERS, CYNTHIA BRUNNER (MED)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:BRUNNER
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:MED
Other - Prefix:MISS
Other - First Name:CYNTHIA
Other - Middle Name:MARIE
Other - Last Name:BRUNNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:101-2 UPPER BLUFFS DR
Mailing Address - Street 2:
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368-2561
Mailing Address - Country:US
Mailing Address - Phone:919-933-2545
Mailing Address - Fax:
Practice Address - Street 1:101-2 UPPER BLUFFS DR
Practice Address - Street 2:
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368-2561
Practice Address - Country:US
Practice Address - Phone:919-933-2545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3759101YM0800X
WALH 60522568101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health