Provider Demographics
NPI:1306906037
Name:VOGEL, CYNTHIA D (LCSW)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:D
Last Name:VOGEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32540 EDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:RAINIER
Mailing Address - State:OR
Mailing Address - Zip Code:97048-2865
Mailing Address - Country:US
Mailing Address - Phone:360-518-7249
Mailing Address - Fax:
Practice Address - Street 1:32540 EDGEWATER DR
Practice Address - Street 2:
Practice Address - City:RAINIER
Practice Address - State:OR
Practice Address - Zip Code:97048-2865
Practice Address - Country:US
Practice Address - Phone:360-518-7249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health