Provider Demographics
NPI:1053969345
Name:GARRETT, CYNTHIA VIRGINIA
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:VIRGINIA
Last Name:GARRETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ELDERFLOWERS COUNSELING
Mailing Address - Street 2:811 33RD ST.
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-4107
Mailing Address - Country:US
Mailing Address - Phone:425-923-8748
Mailing Address - Fax:
Practice Address - Street 1:811 33RD ST
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4107
Practice Address - Country:US
Practice Address - Phone:425-923-8748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-29
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASWIA.SC.61462794101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health