Provider Demographics
NPI:1437882651
Name:DENUCCIO, CINDY G (MFT)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:G
Last Name:DENUCCIO
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22879 ROYAL ADELAIDE DR
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5077
Mailing Address - Country:US
Mailing Address - Phone:951-440-8779
Mailing Address - Fax:
Practice Address - Street 1:22879 ROYAL ADELAIDE DR
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5077
Practice Address - Country:US
Practice Address - Phone:951-440-8779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31674101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health