Provider Demographics
NPI:1740320209
Name:FISCHER, CINDY (MS LCPC LMFT)
Entity type:Individual
Prefix:MS
First Name:CINDY
Middle Name:
Last Name:FISCHER
Suffix:
Gender:F
Credentials:MS LCPC LMFT
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:FERRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5301 E STATE ST STE 202
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61108-2392
Mailing Address - Country:US
Mailing Address - Phone:815-282-1800
Mailing Address - Fax:815-397-9827
Practice Address - Street 1:5301 E STATE ST STE 202
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61108-2392
Practice Address - Country:US
Practice Address - Phone:815-282-1800
Practice Address - Fax:815-397-9827
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI467124106H00000X
IL166000163106H00000X
IL180002009101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist