Provider Demographics
NPI:1538221353
Name:CANO, CYNTHIA COX (LPC, LMFT)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:COX
Last Name:CANO
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11122 WURZBACH RD STE 301
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2651
Mailing Address - Country:US
Mailing Address - Phone:210-699-0345
Mailing Address - Fax:210-699-0377
Practice Address - Street 1:11122 WURZBACH RD STE 301
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230
Practice Address - Country:US
Practice Address - Phone:210-699-0345
Practice Address - Fax:210-699-0377
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0472106H00000X
TX432101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX026274301Medicaid