MEDICARE: CINTHYA FREEBORN MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	ISW4506	FL

General Provider Information

NPI Number	:	1316266984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINTHYA FREEBORN MSW

Provider Business Mailing Address
First Line	:	13506 SUMMERPORT VILLAGE PKWY # 745
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-7366
Country	:	US
Telephone Number	:	407-900-9070
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 ALOMA AVE
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-3752
Country	:	US
Telephone Number	:	407-900-9070
Fax Number	:	407-605-0174

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2010
Last Update Date	:	02/25/2022

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