Healthcare Provider Details

I. General information

NPI: 1942340047
Provider Name (Legal Business Name): CYNTHIA DURAN GUZ LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1173 RIVERVIEW AVE
EL CENTRO CA
92243-9110
US

IV. Provider business mailing address

1173 RIVERVIEW AVE
EL CENTRO CA
92243-9110
US

V. Phone/Fax

Practice location:
  • Phone: 760-996-4068
  • Fax:
Mailing address:
  • Phone: 760-996-4068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number84412
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: