Provider Demographics
NPI:1437781820
Name:HODGSON, CYNTHIA KAY (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:KAY
Last Name:HODGSON
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:CYNTHIA (CINDY)
Other - Middle Name:KAY
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:303 21ST ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:MN
Mailing Address - Zip Code:55055-1094
Mailing Address - Country:US
Mailing Address - Phone:763-248-2019
Mailing Address - Fax:651-925-0257
Practice Address - Street 1:303 21ST ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:MN
Practice Address - Zip Code:55055-1094
Practice Address - Country:US
Practice Address - Phone:651-560-0050
Practice Address - Fax:651-925-0257
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-04
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC02334101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health