Provider Demographics
NPI:1619258787
Name:RANSOM, CINDI LONETTE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:CINDI
Middle Name:LONETTE
Last Name:RANSOM
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:CINDI
Other - Middle Name:LONNETTE
Other - Last Name:KUNKLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:659 WEST SHAW AVE, SUITE E
Mailing Address - Street 2:659 WEST SHAW AVE, SUITE E
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93704-2442
Mailing Address - Country:US
Mailing Address - Phone:559-515-6380
Mailing Address - Fax:559-515-6381
Practice Address - Street 1:659 WEST SHAW AVE, SUITE E
Practice Address - Street 2:659 WEST SHAW AVE, SUITE E
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-2442
Practice Address - Country:US
Practice Address - Phone:559-515-6380
Practice Address - Fax:559-515-6381
Is Sole Proprietor?:No
Enumeration Date:2011-09-02
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA96756101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health