Provider Demographics
NPI:1538474465
Name:MCDONALD, CYNDI (MA, LMFT, LPCC)
Entity Type:Individual
Prefix:
First Name:CYNDI
Middle Name:
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:MA, LMFT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1373
Mailing Address - Street 2:
Mailing Address - City:SEASIDE
Mailing Address - State:CA
Mailing Address - Zip Code:93955-1373
Mailing Address - Country:US
Mailing Address - Phone:831-236-3122
Mailing Address - Fax:
Practice Address - Street 1:207 16TH ST STE 310
Practice Address - Street 2:
Practice Address - City:PACIFIC GROVE
Practice Address - State:CA
Practice Address - Zip Code:93950-3355
Practice Address - Country:US
Practice Address - Phone:831-236-3122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-16
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC54035106H00000X, 106H00000X
CALPC488101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional