Provider Demographics
NPI:1730397332
Name:GOOD, CYNTHIA (MS, LMHCA, IBCLC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:GOOD
Suffix:
Gender:F
Credentials:MS, LMHCA, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2402
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-2402
Mailing Address - Country:US
Mailing Address - Phone:425-399-5053
Mailing Address - Fax:425-332-7393
Practice Address - Street 1:7981 168TH AVE NE STE 116
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-0911
Practice Address - Country:US
Practice Address - Phone:425-399-5053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174N00000X
WAMC60407074101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No174N00000XOther Service ProvidersLactation Consultant, Non-RN