Provider Demographics
NPI:1124438965
Name:BURNETT, CINDY WINKLER
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:WINKLER
Last Name:BURNETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:DENISE
Other - Last Name:WINKLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, LPC, GCDF
Mailing Address - Street 1:5 HOLLY CT
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29678-3022
Mailing Address - Country:US
Mailing Address - Phone:864-886-4500
Mailing Address - Fax:864-886-4542
Practice Address - Street 1:4 EAGLE LN
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:SC
Practice Address - Zip Code:29676-3337
Practice Address - Country:US
Practice Address - Phone:864-886-4500
Practice Address - Fax:864-886-4542
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-01
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3661101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional