Provider Demographics
NPI:1912297789
Name:BERRIO-WILLIAMS, CYNTHIA R (LMHC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:R
Last Name:BERRIO-WILLIAMS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10532 NE 68TH ST
Mailing Address - Street 2:SUITE D-101
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-7097
Mailing Address - Country:US
Mailing Address - Phone:425-956-3604
Mailing Address - Fax:
Practice Address - Street 1:10532 NE 68TH ST
Practice Address - Street 2:SUITE D-101
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-7097
Practice Address - Country:US
Practice Address - Phone:425-956-3604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60128084101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health