Healthcare Provider Details

I. General information

NPI: 1538502406
Provider Name (Legal Business Name): CYNARA CONROY ALLISON MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. CYNARA MIGLIONINI

II. Dates (important events)

Enumeration Date: 04/10/2013
Last Update Date: 12/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1716 MANHATTAN BEACH BLVD. #C
MANHATTAN BEACH CA
90266
US

IV. Provider business mailing address

1466 MANHATTAN BEACH BLVD. #4
MANHATTAN BEACH CA
90266
US

V. Phone/Fax

Practice location:
  • Phone: 310-406-8817
  • Fax:
Mailing address:
  • Phone: 310-406-8817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT18153
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: