Provider Demographics
NPI:1750486346
Name:BINDE, CYNTHIA M (CCDCII)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:M
Last Name:BINDE
Suffix:
Gender:F
Credentials:CCDCII
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:M
Other - Last Name:ZEEB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCDCII
Mailing Address - Street 1:PO BOX 1030
Mailing Address - Street 2:SUITE L-13
Mailing Address - City:WATERTOWN
Mailing Address - State:SD
Mailing Address - Zip Code:57201-6030
Mailing Address - Country:US
Mailing Address - Phone:605-886-0123
Mailing Address - Fax:605-886-5447
Practice Address - Street 1:123 19TH ST NE
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:SD
Practice Address - Zip Code:57201-2823
Practice Address - Country:US
Practice Address - Phone:605-886-0123
Practice Address - Fax:605-886-5447
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5001040Medicaid