Provider Demographics
NPI:1245409408
Name:NERIO, CYNTHIA JEAN (LMFT)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:JEAN
Last Name:NERIO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:JEAN
Other - Last Name:GRIFFITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:94104 BELLVIEW LN
Mailing Address - Street 2:
Mailing Address - City:GOLD BEACH
Mailing Address - State:OR
Mailing Address - Zip Code:97444-9605
Mailing Address - Country:US
Mailing Address - Phone:909-336-7745
Mailing Address - Fax:
Practice Address - Street 1:94104 BELLVIEW LN
Practice Address - Street 2:
Practice Address - City:GOLD BEACH
Practice Address - State:OR
Practice Address - Zip Code:97444-9605
Practice Address - Country:US
Practice Address - Phone:909-336-7745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC36236106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist