Provider Demographics
NPI:1427264506
Name:GAYLE, CYNTHIA (MC, LMHC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:GAYLE
Suffix:
Gender:F
Credentials:MC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16300 CHRISTENSEN RD STE 108
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-3418
Mailing Address - Country:US
Mailing Address - Phone:425-271-1333
Mailing Address - Fax:425-271-5604
Practice Address - Street 1:16300 CHRISTENSEN RD STE 108
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188
Practice Address - Country:US
Practice Address - Phone:425-271-1333
Practice Address - Fax:425-271-5604
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00005364101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health