Individual
SUSAN MAE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4230 GARDENDALE ST STE 601, SAN ANTONIO, TX 78229-3482
(210) 879-8632
Mailing address
8131 GRISSOM CIR, SAN ANTONIO, TX 78251-2831
(702) 824-5561
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
75812
TX
106H00000X
Marriage & Family Therapist
Primary
202588
TX
Other
Enumeration date
07/24/2015
Last updated
06/20/2019
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