Provider Demographics
NPI:1740815455
Name:CYNTHIA, ESTHER JOYLINE (MA LPC)
Entity type:Individual
Prefix:MISS
First Name:ESTHER
Middle Name:JOYLINE
Last Name:CYNTHIA
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4032 N VIEWPOINT DR APT C
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-5460
Mailing Address - Country:US
Mailing Address - Phone:312-863-9114
Mailing Address - Fax:
Practice Address - Street 1:7600 E FLORENTINE RD STE 201
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-1295
Practice Address - Country:US
Practice Address - Phone:928-772-1610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-03
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC18750101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE