Healthcare Provider Details

I. General information

NPI: 1538474465
Provider Name (Legal Business Name): CYNDI MCDONALD MA, LMFT, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2010
Last Update Date: 08/21/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1095 HILLTOP DR # 489
REDDING CA
96003-3811
US

IV. Provider business mailing address

1095 HILLTOP DR # 489
REDDING CA
96003-3811
US

V. Phone/Fax

Practice location:
  • Phone: 831-236-3122
  • Fax:
Mailing address:
  • Phone: 831-236-3122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC488
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC54035
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: