Provider Demographics
NPI:1285260026
Name:KUIKSTRA, CYNTHIA LEE (RECOVERY COACH)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:LEE
Last Name:KUIKSTRA
Suffix:
Gender:F
Credentials:RECOVERY COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5255 S NEWCOSTA AVE
Mailing Address - Street 2:
Mailing Address - City:NEWAYGO
Mailing Address - State:MI
Mailing Address - Zip Code:49337-8227
Mailing Address - Country:US
Mailing Address - Phone:231-937-5557
Mailing Address - Fax:
Practice Address - Street 1:232 E 82ND ST
Practice Address - Street 2:
Practice Address - City:NEWAYGO
Practice Address - State:MI
Practice Address - Zip Code:49337-9631
Practice Address - Country:US
Practice Address - Phone:231-652-1780
Practice Address - Fax:231-652-1786
Is Sole Proprietor?:No
Enumeration Date:2020-03-12
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical