Individual
JESSE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
120 S MAIN ST STE C, MILFORD, MI 48381-1975
(248) 529-6383
Mailing address
120 S MAIN ST STE C, MILFORD, MI 48381-1975
(248) 529-6383
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-01453
MI
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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