Provider Demographics
NPI:1528189149
Name:D'ANNA, CYNTHIA (MFT)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:
Last Name:D'ANNA
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 1:1899 E ROSEVILLE PKWY
Mailing Address - Street 2:STE. 100
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-7979
Mailing Address - Country:US
Mailing Address - Phone:916-771-9112
Mailing Address - Fax:916-771-9115
Practice Address - Street 1:1899 E ROSEVILLE PKWY
Practice Address - Street 2:STE. 100
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-7979
Practice Address - Country:US
Practice Address - Phone:916-771-9112
Practice Address - Fax:916-771-9115
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT15829106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist