Provider Demographics
NPI:1881600302
Name:DEARING, CINDY SUZANNE (LPC)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:SUZANNE
Last Name:DEARING
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:SUZANNE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:315 SANDRA WAY
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63389-3346
Mailing Address - Country:US
Mailing Address - Phone:314-401-0706
Mailing Address - Fax:
Practice Address - Street 1:315 SANDRA WAY
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:MO
Practice Address - Zip Code:63389-3346
Practice Address - Country:US
Practice Address - Phone:314-401-0706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001029775101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health