Individual
MR. RALPH CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,LLPC,ADA
Contact information
Practice address
16057 BLUE STAR M HWY, SOUTH HAVEN, MI 49090-9470
(269) 389-9670
Mailing address
PO BOX 20101, KALAMAZOO, MI 49019-1101
(269) 389-9670
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401007689
MI
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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