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General NPI Number Information
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NPI Number | 1780740001
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Entity Type | Organization
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Legal Business Name | CYNTHIA B. SHREWSBERRY, MA,LPC, LMFT, NCC, LLC
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 07/07/2015
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Provider Practice Location Address
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Address Line | 108 STATE ST
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City | LAKE CHARLES
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State | LA
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Zip | 70605-5718
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Country | US
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Telephone | 337-478-1616
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Fax | 337-478-1632
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Provider Business Mailing Address
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Address Line | PO BOX 7452
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City | LAKE CHARLES
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State | LA
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Zip | 70606-7452
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Country | US
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Telephone | 337-478-1616
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Fax | 337-478-1632
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Authorized Official
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Title or Position | OWNER & THERAPIST
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Name | MRS. CYNTHIA B SHREWSBERRY
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Credential | MA, LPC, LMFT, NCC
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Telephone | 337-478-1616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 707
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2665
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License Number State | LA
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