Organization
CHELYNE J. CUNNINGHAM COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELYNE JEANETTE CUNNINGHAM-SULLIVAN LISW (PRESIDENT)
(515) 221-1989
Entity
Organization
Contact information
Practice address
939 OFFICE PARK RD STE 103, WEST DES MOINES, IA 50265-2505
(515) 221-1989
Mailing address
100 7TH AVENUE CT NE, ALTOONA, IA 50009-1937
(319) 321-4473
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
006960
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659541126
—
IA
Enumeration date
08/08/2018
Last updated
12/03/2018
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