Provider Demographics
NPI:1104158005
Name:DALMOLIN, CINDY K (MA, LMFT, LCDCI)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:K
Last Name:DALMOLIN
Suffix:
Gender:F
Credentials:MA, LMFT, LCDCI
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 814
Mailing Address - Street 2:
Mailing Address - City:MANVEL
Mailing Address - State:TX
Mailing Address - Zip Code:77578-0814
Mailing Address - Country:US
Mailing Address - Phone:281-615-5862
Mailing Address - Fax:
Practice Address - Street 1:2225 COUNTY ROAD 90 STE 119
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-4891
Practice Address - Country:US
Practice Address - Phone:832-226-2688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6359101YA0400X
TX201054106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)