MEDICARE: CINDY PLASCENCIA

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	106H00000X	Marriage & Family Therapist
2	106H00000X	Marriage & Family Therapist	113536	CA

General Provider Information

NPI Number	:	1952723736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY PLASCENCIA

Provider Business Mailing Address
First Line	:	PO BOX 335
Second Line	:
City	:	PAUMA VALLEY
State	:	CA
Zip	:	92061-0335
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	32359 RINCON RANCH RD
Second Line	:
City	:	PAUMA VALLEY
State	:	CA
Zip	:	92061
Country	:	US
Telephone Number	:	760-715-6908
Fax Number	:

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

Provider Enumeration Date	:	01/13/2014
Last Update Date	:	06/27/2019

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Directions to “ CINDY PLASCENCIA ” Practice Location

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