Provider Demographics
NPI:1669954640
Name:TOMS, CYNTHIA CHRISTINE (MA, CADC)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:CHRISTINE
Last Name:TOMS
Suffix:
Gender:F
Credentials:MA, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 7TH AVE SE STE 203
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52401-2007
Mailing Address - Country:US
Mailing Address - Phone:319-247-4873
Mailing Address - Fax:319-247-4877
Practice Address - Street 1:317 7TH AVE SE STE 203
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52401-2007
Practice Address - Country:US
Practice Address - Phone:319-247-4873
Practice Address - Fax:319-247-4877
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01035101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)