Individual
EDWARD MICHAEL CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 BENTLY DR, SEWELL, NJ 08080-1827
(856) 693-4761
Mailing address
6 BENTLY DR, SEWELL, NJ 08080-1827
(856) 217-0627
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
44SL05871500
NJ
101YM0800X
Mental Health Counselor
Primary
44SL05871500
NJ
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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