Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | LNR2600611 | CA |
NPI | 1003423401 |
---|---|
Provider Name | Cynthia Lee Pilaczynski |
First Address | Yuba City, CA 95993-9421 |
Second Address | Colusa, CA 95932-2880 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2020 |
Last Update Date | 29/09/2020 |