Provider Demographics
NPI:1750477428
Name:CARDWELL, CINDI SUE (LPC)
Entity Type:Individual
Prefix:MS
First Name:CINDI
Middle Name:SUE
Last Name:CARDWELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11000 N SCOTTSDALE RD STE 163
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5269
Mailing Address - Country:US
Mailing Address - Phone:480-922-5440
Mailing Address - Fax:480-922-5445
Practice Address - Street 1:11000 N SCOTTSDALE RD STE 163
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5269
Practice Address - Country:US
Practice Address - Phone:480-922-5440
Practice Address - Fax:480-922-5445
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC-14722101YP2500X
AZLPC11918101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional