Individual
DR. CHARLES JOHN CUNNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
205 WOODSIDE DR, GAFFNEY, SC 29340-2853
(864) 487-1039
Mailing address
205 WOODSIDE DR, GAFFNEY, SC 29340-2853
(864) 487-1039
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
06/23/2012
Last updated
06/23/2012
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