Individual
JENESSIA L. CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
510 E. STONER AVENUE, OVERTON BROOKS VA MEDICAL CENTER, SHREVEPORT, LA 71101-4295
(318) 990-4704
Mailing address
1105 ISLAND PARK BLVD APT 719, SHREVEPORT, LA 71105-4767
(318) 347-6245
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8962
LA
Other
Enumeration date
11/14/2008
Last updated
12/02/2025
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