Individual
MARK R CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT-C
Contact information
Practice address
2625 REDWING RD UNIT 175 OFFICE 1, FORT COLLINS, CO 80526
(970) 825-3848
Mailing address
1531 W SWALLOW RD APT 36, FORT COLLINS, CO 80526-2397
(702) 885-6473
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFTC.0013774
CO
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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