Basic Information
Provider Information
NPI: 1982966230
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RUMFORD-JONES
FirstName: CYNTHIA
MiddleName: RENAE
NamePrefix: MS.
NameSuffix:  
Credential: MSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: STOREY-JONES
OtherFirstName: CYNTHIA
OtherMiddleName: RENAE
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential: MSW
OtherLastNameType: 1
Mailing Information
Address1: 41002 COUNTY CENTER DR STE 320
Address2:  
City: TEMECULA
State: CA
PostalCode: 925916027
CountryCode: US
TelephoneNumber: 9516006396
FaxNumber: 9516006365
Practice Location
Address1: 41002 COUNTY CENTER DR STE 320
Address2:  
City: TEMECULA
State: CA
PostalCode: 925916027
CountryCode: US
TelephoneNumber: 9516006396
FaxNumber: 9516006365
Other Information
ProviderEnumerationDate: 06/12/2012
LastUpdateDate: 01/12/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X  Y Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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