Provider Demographics
NPI:1477832129
Name:KRETSCHMER, CYNTHIA R (LMHC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:R
Last Name:KRETSCHMER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MILBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-3027
Mailing Address - Country:US
Mailing Address - Phone:561-797-9909
Mailing Address - Fax:561-328-7622
Practice Address - Street 1:2700 PGA BLVD
Practice Address - Street 2:STE 202A
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2958
Practice Address - Country:US
Practice Address - Phone:561-797-9909
Practice Address - Fax:561-328-7622
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-12
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401002942101Y00000X
FLMH10438101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor