Provider Demographics
NPI:1336950914
Name:BUELTMANN, CYNTHIA JANE (MA COUNSELING)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:JANE
Last Name:BUELTMANN
Suffix:
Gender:F
Credentials:MA COUNSELING
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:JANE
Other - Last Name:SHIRLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 CHESTNUT ST STE 101
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-1440
Mailing Address - Country:US
Mailing Address - Phone:325-676-8963
Mailing Address - Fax:325-676-2915
Practice Address - Street 1:100 CHESTNUT ST STE 101
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-1440
Practice Address - Country:US
Practice Address - Phone:325-676-8963
Practice Address - Fax:325-676-2915
Is Sole Proprietor?:No
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94180101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health