Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Cynthia Dewaters Balog, LCPCLCADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1730271792

Mrs. Cynthia Dewaters Balog, LCPCLCADC is an Addiction (Substance Use Disorder) Counselor in Phoenix, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2006
Specialties on file
2

Practice location Address checks out

3314 Paper Mill Rd Ste 100
Phoenix, MD 21131-1446
Phone: (410) 802-4049
Fax: (866) 561-6670
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LC1289 (MD)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCA362 (MD)

Record details

NPI number1730271792
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPCLCADC
Sole proprietorYes
NPI enumeratedSeptember 28, 2006
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021

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