Provider Demographics
NPI:1366673212
Name:KIGHTLINGER, CYNTHIA KAY (MS,MA,CAC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:KAY
Last Name:KIGHTLINGER
Suffix:
Gender:F
Credentials:MS,MA,CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17796 POND DR
Mailing Address - Street 2:
Mailing Address - City:SAEGERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:16433-3528
Mailing Address - Country:US
Mailing Address - Phone:814-763-6787
Mailing Address - Fax:
Practice Address - Street 1:13180 LESLIE RD
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-8478
Practice Address - Country:US
Practice Address - Phone:814-337-6180
Practice Address - Fax:814-724-7681
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2010-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3763101YA0400X
101YP1600X, 101YP2500X
PAPC005419101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional