Provider Demographics
NPI:1952461121
Name:DUCKWORTH, CYNTHIA ANN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:ANN
Last Name:DUCKWORTH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:CINDY
Other - Middle Name:ANN
Other - Last Name:DUCKWORTH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1355 S COLORADO BLVD
Mailing Address - Street 2:SUITE C-100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-3305
Mailing Address - Country:US
Mailing Address - Phone:303-756-9052
Mailing Address - Fax:303-756-0308
Practice Address - Street 1:1355 S COLORADO BLVD
Practice Address - Street 2:SUITE C-100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-3305
Practice Address - Country:US
Practice Address - Phone:303-756-9052
Practice Address - Fax:303-756-0308
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1322101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional