Healthcare Provider Details

I. General information

NPI: 1952723736
Provider Name (Legal Business Name): CINDY PLASCENCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2014
Last Update Date: 06/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32359 RINCON RANCH RD
PAUMA VALLEY CA
92061
US

IV. Provider business mailing address

PO BOX 335
PAUMA VALLEY CA
92061-0335
US

V. Phone/Fax

Practice location:
  • Phone: 760-715-6908
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number113536
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: