Provider Demographics
NPI:1336250513
Name:PAFFUMI, CYNTHIA J (MA)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:J
Last Name:PAFFUMI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2215 ELM ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-2899
Mailing Address - Country:US
Mailing Address - Phone:360-220-9524
Mailing Address - Fax:360-673-4255
Practice Address - Street 1:2215 ELM ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-2899
Practice Address - Country:US
Practice Address - Phone:360-220-9524
Practice Address - Fax:360-673-4255
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00011196101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health