Provider Demographics
NPI:1477383560
Name:ANDUJAR, CINTHIA JEANNETTE (LAC)
Entity type:Individual
Prefix:
First Name:CINTHIA
Middle Name:JEANNETTE
Last Name:ANDUJAR
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 1:37 HIGHGROVE CT
Mailing Address - Street 2:
Mailing Address - City:WEST DEPTFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08086-3814
Mailing Address - Country:US
Mailing Address - Phone:215-821-0881
Mailing Address - Fax:
Practice Address - Street 1:115 N CHURCH ST STE 1
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-2493
Practice Address - Country:US
Practice Address - Phone:856-465-3203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00697700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health