Provider Demographics
NPI:1982731253
Name:CANNEY, CYNTHIA LOUISE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:LOUISE
Last Name:CANNEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:CYNTHIA
Other - Middle Name:LOUISE
Other - Last Name:HANSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:502 W. EL NORTE PARKWAY
Mailing Address - Street 2:
Mailing Address - City:EXCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026
Mailing Address - Country:US
Mailing Address - Phone:760-613-9313
Mailing Address - Fax:
Practice Address - Street 1:502 W. EL NORTE PARKWAY
Practice Address - Street 2:
Practice Address - City:EXCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026
Practice Address - Country:US
Practice Address - Phone:760-613-9313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC41164106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist