Individual
LISA CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2005 MCLAIN ST, NEWPORT, AR 72112-3662
(870) 495-1990
(870) 495-1994
Mailing address
2809 FOREST HOME RD, JONESBORO, AR 72401-5320
(866) 972-1268
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0301001
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227825719
—
AR
Enumeration date
04/04/2007
Last updated
09/13/2022
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