Provider Demographics
NPI:1548294564
Name:NAFF, CYNTHIA JANE (LPC, LADC)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:JANE
Last Name:NAFF
Suffix:
Gender:F
Credentials:LPC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 S PEORIA AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74120-6203
Mailing Address - Country:US
Mailing Address - Phone:918-585-9888
Mailing Address - Fax:918-585-2878
Practice Address - Street 1:1629 S PEORIA AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74120-6203
Practice Address - Country:US
Practice Address - Phone:918-585-9888
Practice Address - Fax:918-585-2878
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK20101YA0400X
OK1346101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health