Provider Demographics
NPI:1306481619
Name:ARNAO, CYNTHIA (LAC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:ARNAO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 GATES AVE APT 9
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-2538
Mailing Address - Country:US
Mailing Address - Phone:201-906-8357
Mailing Address - Fax:
Practice Address - Street 1:220 LENOX AVE STE OFFICE5
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-5101
Practice Address - Country:US
Practice Address - Phone:908-543-9100
Practice Address - Fax:201-624-7846
Is Sole Proprietor?:No
Enumeration Date:2019-11-11
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00344200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional