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Individual
MR. TIMOTHY LEE CUNNINGHAM
Active
Individual
MR. TIMOTHY LEE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000073
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008037428
—
CT
01
—
060669107
UBH/CONNECTICARE WELLMORE GRP/FACILITY
CT
01
—
11241824
CAQH
CT
01
—
390290
MHN-TRICARENORTH
CT
01
—
4853958
CIGNA BEHAVIORAL HEALTH
CT
01
—
9790693
AETNA BEHAVIORAL HEALTH
CT
01
—
D339123 WATERBURY
BEACON HEALTH STRATEGIES WELLMORE GRP/FACILITY
CT
Enumeration date
11/12/2008
Last updated
07/26/2016
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