Provider Demographics
NPI:1518033901
Name:MAX-WRIGHT, CYNTHIA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:
Last Name:MAX-WRIGHT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:MAX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 6488
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95763-6488
Mailing Address - Country:US
Mailing Address - Phone:530-498-0026
Mailing Address - Fax:530-331-0306
Practice Address - Street 1:312 MAIN STREET
Practice Address - Street 2:SUITE #203
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-5698
Practice Address - Country:US
Practice Address - Phone:530-498-0026
Practice Address - Fax:530-331-0306
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 44468106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist