Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CYNTHIA DEWATERS BALOG, LCPC LCADC
Active Sole ProprietorMRS. CYNTHIA DEWATERS BALOG, LCPC LCADC is a Professional Counselor healthcare provider located in PHOENIX, Maryland. NPI 1730271792 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · PHOENIX, MD
Registration Details
- NPI Number
- 1730271792
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 28, 2006 (19.862779821314 yrs)
- Last Updated
- Oct 13, 2021
- Licenses
-
LCA362 (MD)LC1289 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3314 PAPER MILL RD STE 100PHOENIX, MD, 211311446Browse MD providers · Browse ZIP 21131
- Phone
- 4108024049
- Fax
- 8665616670
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in PHOENIX, MD
| Name | Credential | NPI |
|---|---|---|
| AMY RUTH RAKUSIN | LCPC, ADTR, NCC | 1093977134 |
| CHRISTINE LANZI | LCPC | 1134602451 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.