Provider Demographics
NPI:1629372883
Name:RIEB, CINDI KAY (MA)
Entity type:Individual
Prefix:
First Name:CINDI
Middle Name:KAY
Last Name:RIEB
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 JOHNSTOWN CENTER DR UNIT 208
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:CO
Mailing Address - Zip Code:80534-7848
Mailing Address - Country:US
Mailing Address - Phone:970-587-4963
Mailing Address - Fax:
Practice Address - Street 1:257 JOHNSTOWN CENTER DR UNIT 208
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:CO
Practice Address - Zip Code:80534-7848
Practice Address - Country:US
Practice Address - Phone:970-587-4963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-03
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6465101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health